Individual
LARA STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3211 E MOORES PIKE, BLOOMINGTON, IN 47401-7129
(812) 335-0089
Mailing address
2728 E BRIGS BND, BLOOMINGTON, IN 47401-4402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004876A
IN
Other
Enumeration date
07/21/2012
Last updated
07/21/2012
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