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1225372667
STACEY RENAE NICKELL
BECKLEY, WV
NPI
1225372667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV SLP-1137)
Enumeration Date
2012-11-26
Last Update Date
2012-11-26
Business Address
Mrs. STACEY RENAE NICKELL M.S. CCC-SLP
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
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Mailing Address
Mrs. STACEY RENAE NICKELL M.S. CCC-SLP
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
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