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Individual
STEPHANIE B ROBERTS
Active
Individual
STEPHANIE B ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004487
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0188925
LABOR & IND.
WA
05
—
8406696
—
WA
01
—
8940047
CRIME VICTIMS
WA
Enumeration date
08/22/2005
Last updated
06/26/2025
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