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1841744067
STACY SIDEY
TAMPA, FL
NPI
1841744067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 5330)
Enumeration Date
2016-08-04
Last Update Date
2016-08-04
Business Address
-- STACY SIDEY CCC-SLP
2701 N ROCKY POINT DR STE 650
TAMPA, FL 33607-5999
Phone number: 530-242-1511
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Mailing Address
-- STACY SIDEY CCC-SLP
1766 CALIFORNIA ST
REDDING, CA 96001-1905
Phone number: 530-242-1511
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