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1710301213
STACY BENNETT
MARIETTA, GA
NPI
1710301213
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: GA SLP005003)
Enumeration Date
2014-02-05
Last Update Date
2014-02-05
Business Address
STACY BENNETT MACCC-SLP
2186 SMOKE STONE CIR
MARIETTA, GA 30062-6089
Phone number: 678-770-9362
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Mailing Address
STACY BENNETT MACCC-SLP
2186 SMOKE STONE CIR
MARIETTA, GA 30062-6089
Phone number:
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