Individual
CARLY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6528 GRAYBARK LN, HUGHSON, CA 95326-9292
(209) 404-7197
Mailing address
PO BOX 154, MODESTO, CA 95353-0154
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18353
CA
Other
Enumeration date
02/22/2022
Last updated
04/04/2022
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