Individual
JAMIE STEVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH COURT NE SUITE #A, LACEY, WA 98516
(360) 915-6868
Mailing address
161 BROOK DR., CHEHALIS, WA 98532
(360) 269-1271
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
STEVIJL054LB
WA
Other
Enumeration date
10/03/2021
Last updated
10/03/2021
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