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1871191841
STACEY SHAFFER
RICHARDSON, TX
NPI
1871191841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: TX 103641)
Enumeration Date
2020-10-13
Last Update Date
2020-10-13
Business Address
STACEY SHAFFER CCC-SLP
2413 GOLDEN WILLOW LN
RICHARDSON, TX 75082-4225
Phone number: 469-274-5346
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Mailing Address
STACEY SHAFFER CCC-SLP
2413 GOLDEN WILLOW LN
RICHARDSON, TX 75082-4225
Phone number: 469-274-5346
Copy
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