Individual
KARA STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5745 E 850 S, OXFORD, IN 47971-8679
(765) 418-7837
Mailing address
5745 E 850 S, OXFORD, IN 47971-8679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002681A
IN
Other
Enumeration date
09/11/2014
Last updated
10/03/2016
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