Individual
STACEY-ANNE SWILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 OAKESDALE AVE SW, RENTON, WA 98057-5221
(425) 917-7641
Mailing address
1259 BURNSIDE PL, DUPONT, WA 98327-8810
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100970
—
WA
Enumeration date
04/26/2019
Last updated
05/18/2022
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