Individual
MISS MICHELLE ANTOINETTE STOYANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
104 MARBLE ARCH WAY, LAFAYETTE, IN 47905-7622
(765) 446-1207
Mailing address
104 MARBLE ARCHWAY, LAFAYETTE, IN 47905
(765) 446-1207
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001681A
IN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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