Individual
MS. CASSIE LAKE STROUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-S
Contact information
Practice address
3427 US ROUTE 60 EAST, BARBOURSVILLE, WV 25504
(304) 736-8255
(304) 736-4851
Mailing address
PO BOX 232, CULLODEN, WV 25510-0232
(304) 736-8255
(304) 736-4851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0777
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002490
—
WV
Enumeration date
10/19/2006
Last updated
07/09/2007
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