Individual
MRS. STACEY RENEE BURES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1301 S MAIN ST, OTTAWA, KS 66067-3537
(785) 229-8343
Mailing address
109 N CLEVELAND AVE, GARNETT, KS 66032-2614
(785) 448-3934
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2467
KS
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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