Individual
STACY MICHELLE STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LICSW
Contact information
Practice address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Mailing address
1909 214TH ST SE STE 300, BOTHELL, WA 98021-4418
(425) 412-7200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60278527
WA
1041C0700X
Clinical Social Worker
60278527
WA
Other
Enumeration date
01/14/2013
Last updated
09/25/2019
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