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1659418168
STACEY MOORE THOMAS
PLANTATION, FL
NPI
1659418168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA6909)
Enumeration Date
2007-01-31
Last Update Date
2007-07-09
Business Address
Mrs. STACEY MOORE THOMAS M.S. CCC SLP
447 NW 73RD AVE
PLANTATION, FL 33317-1608
Phone number: 954-583-7383
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Mailing Address
Mrs. STACEY MOORE THOMAS M.S. CCC SLP
1930 SW 23RD AVE
FT LAUDERDALE, FL 33312-4514
Phone number: 954-583-7383
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