Individual
STEPHANIE JO NIELSEN ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3210 200TH PL SW, LYNNWOOD, WA 98036-6934
(425) 775-6070
Mailing address
3210 200TH PL SW, LYNNWOOD, WA 98036-6934
(425) 775-6070
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60296940
WA
Other
Enumeration date
09/12/2012
Last updated
11/12/2012
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