STACEY L DAVIS

CARBONDALE, IL
NPI1801924196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146006880)
Enumeration Date2007-03-01
Last Update Date2025-02-05
Business Address
STACEY L DAVIS
2751 W MAIN STREET
CARBONDALE, IL 62901-1000
Phone number: 618-529-5944
Mailing Address
STACEY L DAVIS
523 E PARK ST
DU QUOIN, IL 62832-2253
Phone number: