Individual
STACEY M SOWDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 763-5828
Mailing address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61428557
WA
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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