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1518276203
STACY IRWIN
CANTON, GA
NPI
1518276203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: GA SLP004015)
Enumeration Date
2010-09-29
Last Update Date
2010-09-29
Business Address
Mrs. STACY IRWIN MEd. CCC-SLP
212 RIVERSTONE DR
CANTON, GA 30114-5256
Phone number: 770-345-7796
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Mailing Address
Mrs. STACY IRWIN MEd. CCC-SLP
1450 YELLOW CREEK RD
BALL GROUND, GA 30107-3141
Phone number: 770-893-2699
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