STACY BROADHURST

MORGANTOWN, WV
NPI1871663013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  0707)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
-- STACY BROADHURST SLP
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4118
Mailing Address
-- STACY BROADHURST SLP
1610 MICHAEL LN
FAIRMONT, WV 26554-2113
Phone number:
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