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Individual
MS. STEPHANIE KIM ALLEN
Active
Individual
MS. STEPHANIE KIM ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, GMHS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103685
TX
1041C0700X
Clinical Social Worker
LW60417321
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054960
—
WA
01
—
P01627692
RAILROAD MEDICARE
WA
Enumeration date
01/18/2011
Last updated
04/20/2021
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