Individual
STACY ANN TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 N TUCSON BLVD, SUITE 6, TUCSON, AZ 85716
(520) 829-9635
Mailing address
1601 N TUCSON BLVD, SUITE 6, TUCSON, AZ 85716
(520) 829-9635
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7496
AZ
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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