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Individual

ALICIA STACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC/SLP

Contact information

Practice address
101 MILLER DR, BROWNWOOD, TX 76801-5949
(325) 643-9555
Mailing address
409 WINDCREST DR, EARLY, TX 76802-2353
(817) 219-5329

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100430
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100430
STATE BOARD OF EXAMINERS IN SPEECH-LANGUAGE PATHOLOGY
TX
Enumeration date
10/29/2019
Last updated
10/29/2019
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