Individual
MISS STACY DANAE DEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
171 1ST PL NW, ISSAQUAH, WA 98027
(425) 427-1075
Mailing address
171 1ST PL NW, ISSAQUAH, WA 98027
(425) 427-1075
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00003812
WA
Other
Enumeration date
04/09/2010
Last updated
04/09/2010
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