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Individual

SANDY L STOOPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AAC

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60290321
WA
101YM0800X
Mental Health Counselor
CG60290321
WA
106S00000X
Behavior Technician
175T00000X
Peer Specialist
Primary
WA

Other

Enumeration date
04/18/2013
Last updated
12/30/2024
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