Individual
DARLA KIM STUMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA6564
Contact information
Practice address
503 E CRESCENT DR, GOODYEAR, AZ 85338-1306
(623) 776-5123
Mailing address
503 E CRESCENT DR, GOODYEAR, AZ 85338-1306
(623) 776-5123
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/20/2020
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