Individual
STACEY STAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8538 IMPERIAL CT, FLORENCE, KY 41042-7705
(859) 750-5772
Mailing address
8538 IMPERIAL CT, FLORENCE, KY 41042-7705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
294423
KY
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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