Individual
STACEY L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 CAHABA VALLEY PKWY, PELHAM, AL 35124-2216
(205) 942-6820
Mailing address
2218 W 32ND ST, JOPLIN, MO 64804-3514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009011816
MO
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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