STACEY RENAE NICKELL

BECKLEY, WV
NPI1225372667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  SLP-1137)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
Mrs. STACEY RENAE NICKELL M.S. CCC-SLP
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317
Mailing Address
Mrs. STACEY RENAE NICKELL M.S. CCC-SLP
405 STANAFORD RD
BECKLEY, WV 25801-3143
Phone number: 304-252-6317