Individual
STEPHANIE BROADGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
24 MAIN STREET, METHOW, WA 98834
(206) 456-6229
Mailing address
PO BOX 718, METHOW, WA 98834-0718
(206) 456-6229
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF61399760
WA
Other
Enumeration date
12/08/2014
Last updated
07/20/2023
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