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1093094153
STACY AUSTIN
EVANSVILLE, IN
NPI
1093094153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IN 22003753A)
Enumeration Date
2011-08-08
Last Update Date
2011-08-08
Business Address
-- STACY AUSTIN
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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Mailing Address
-- STACY AUSTIN
150 N ROSENBERGER AVE
EVANSVILLE, IN 47712-6503
Phone number: 812-491-3856
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