Individual
MRS. STACY LYNN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
2495 HWY 899, MALLIE, KY 41836
(606) 438-5431
Mailing address
PO BOX 1145, HINDMAN, KY 41822-1145
(606) 438-5431
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3215
KY
Other
Enumeration date
03/25/2022
Last updated
03/25/2022
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