Individual
KIERSTIN STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
111 MABELINE DR, GALLIPOLIS, OH 45631-1527
(740) 645-8465
Mailing address
61 STATE, GALLIPOLIS, OH 45631-1185
(740) 446-3211
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.14834
OH
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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