Individual
LACY JEAN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
2125 WESTLAKE AVE N, UNIT 302, SEATTLE, WA 98109-2442
(803) 215-8255
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60839778
WA
Other
Enumeration date
09/21/2018
Last updated
10/04/2021
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