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Individual

MS. SHERI STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFA, MHCA, ATR-P

Contact information

Practice address
12826 SE 245TH ST, KENT, WA 98030-5054
(253) 632-1106
Mailing address
12826 SE 245TH ST, KENT, WA 98030-5054

Taxonomy

Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
MC60842164
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MC60842164
MHCA LICENSE
WA
Enumeration date
07/05/2021
Last updated
07/05/2021
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