Individual
STEFANIE M MCKINNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1803 N SOUND DR, SEDRO WOOLLEY, WA 98284-7697
(360) 854-7400
Mailing address
22422 GRIP RD, SEDRO WOOLLEY, WA 98284-8227
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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