Individual
MS. LYDIA STANBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1027 ROE ST, STEILACOOM, WA 98388-4009
(253) 588-2336
Mailing address
1027 ROE ST, STEILACOOM, WA 98388-4009
(253) 588-2336
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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