Individual
MARY STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 NE KAMIAKEN ST 226, WASHINGTON, WA 99163-9916
(208) 596-8118
Mailing address
1222 OLSON RD, PALOUSE, WA 99161-9775
(208) 596-8118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
02/14/2023
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