Individual
MISS SUSAN E. STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002780
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5852ST
REGENCE PROVIDER NUMBER
WA
Enumeration date
12/04/2006
Last updated
07/08/2007
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