Individual
JEANNA STICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 W PROFESSIONAL PARK CT, STE 1, BOWLING GREEN, KY 42104-3250
(270) 843-5300
(270) 243-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-8283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
141286
KY
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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