Individual
MS. STACIE RAE KEIRSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14655 NE BEL RED RD STE 203, BELLEVUE, WA 98007-3900
(425) 243-5407
Mailing address
1829 140TH AVE SE, BELLEVUE, WA 98005-4040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60789950
WA
Other
Enumeration date
09/04/2012
Last updated
01/06/2020
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