Individual
STACEY LYNN KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
16450 W VAN BUREN ST APT 2048, GOODYEAR, AZ 85338-1611
(717) 917-0923
Mailing address
16450 W VAN BUREN ST APT 2048, GOODYEAR, AZ 85338-1611
(717) 917-0923
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12763
AZ
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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