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1639309164
STACEY R FORD
TEMPE, AZ
NPI
1639309164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: AZ SLP6245)
Enumeration Date
2009-07-17
Last Update Date
2018-05-09
Business Address
STACEY R FORD CCC-SLP
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
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Mailing Address
STACEY R FORD CCC-SLP
1930 E SOUTHERN AVE
TEMPE, AZ 85282-7518
Phone number: 480-456-0719
Copy
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