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1982937652
LACEY JANE STATON
AVON, IN
NPI
1982937652
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: IN 22004563A)
Enumeration Date
2009-09-14
Last Update Date
2009-09-14
Business Address
LACEY JANE STATON M.A. CCC-SLP
1335 MARIA LN
AVON, IN 46123-8012
Phone number: 317-965-0694
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Mailing Address
LACEY JANE STATON M.A. CCC-SLP
1335 MARIA LN
AVON, IN 46123-8012
Phone number:
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