Individual
KIRK RYAN STADELMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
77 WAINWRIGHT DR BLDG 143, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
77 WAINWRIGHT DR BLDG 143, WALLA WALLA, WA 99362-3975
(509) 525-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60903087
—
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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