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Individual

MISS MARIAN STELLA KRISHACK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.S., CCC/SLP

Contact information

Practice address
245 CAHABA VALLEY PKWY, SUITE 200, PELHAM, AL 35124-2216
(205) 942-6820
(205) 942-5627
Mailing address
333 BEDFORD AVE, BIRMINGHAM, AL 35226-1504
(205) 824-0087

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1082
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-30503
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/03/2006
Last updated
07/08/2007
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