Individual
MISS STACIE H MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 BELLEVUE AVE, RICHMOND, VA 23227
(804) 401-0405
Mailing address
9101 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-3103
(800) 603-6046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005268
VA
Other
Enumeration date
04/22/2009
Last updated
06/05/2019
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