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Individual

STACEY J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC SLP

Contact information

Practice address
WHEELING HOSPITAL INC, 1 MEDICAL PARK, WHEELING, WV 26003
(304) 243-3770
Mailing address
RR 3 BOX 408, MOUNDSVILLE, WV 26041-9529
(304) 845-7852

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-0714
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09106882
AMERICAN SPEECH
WV
Enumeration date
05/07/2007
Last updated
07/08/2007
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