Individual
CARLEY NELSON-STAKELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 766-2650
Mailing address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61490063
WA
Other
Enumeration date
07/24/2019
Last updated
08/29/2024
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