STACEY R FORD

TEMPE, AZ
NPI1639309164
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: AZ  SLP6245)
Enumeration Date2009-07-17
Last Update Date2018-05-09
Business Address
STACEY R FORD CCC-SLP
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
Mailing Address
STACEY R FORD CCC-SLP
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719