Individual
EMMA CLARISSA STADLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 COOPER POINT RD SW STE 5, OLYMPIA, WA 98502-7206
(360) 464-9052
Mailing address
2892 COVENTRY LN SW, TUMWATER, WA 98512-0489
(564) 201-8204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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