STACEY BAGWELL

LOUISVILLE, KY
NPI1609256262
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: MI  7101000611)
Enumeration Date2015-06-08
Last Update Date2024-04-08
Business Address
STACEY BAGWELL
2701 CHESTNUT STATION CT
LOUISVILLE, KY 40299-6395
Phone number: 800-335-1060
Mailing Address
STACEY BAGWELL
1070 PARKVIEW ST
FENTON, MI 48430-4149
Phone number: 810-813-4240
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