Individual
KAREN STAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPA, CCC-SLP
Contact information
Practice address
721 STEDMAN ST, KETCHIKAN, AK 99901-6632
(907) 617-5340
Mailing address
PO BOX 23748, KETCHIKAN, AK 99901-8748
(907) 617-5340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPS70
AK
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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