Individual
MRS. CARLEY PALMER STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 576-4381
Mailing address
1422 DOROTHEA RD, BERKLEY, MI 48072-2157
(240) 410-8709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004702
MI
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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