Individual
STEPHANIE HICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
364 S PARK ST, WALLA WALLA, WA 99362-3249
(509) 527-3700
Mailing address
30 DAYBREAK RD, WALLA WALLA, WA 99362-3099
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61338573
WA
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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