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Individual

AVERY ALEECE STANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(253) 830-6242
(534) 333-1062
Mailing address
7610 40TH ST W, UNIVERSITY PLACE, WA 98466-3834
(538) 306-2422
(253) 433-3106

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/19/2021
Last updated
07/06/2023
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