Individual
PAMELA L STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 N KELLER ST, REPUBLIC, WA 99166-9916
(509) 775-3341
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO61394897
WA
Other
Enumeration date
03/03/2022
Last updated
01/31/2023
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