Individual
STEPHANIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 S 2ND AVE, WALLA WALLA, WA 99362-4100
(509) 902-4658
Mailing address
1129 S 2ND AVE, WALLA WALLA, WA 99362-4100
(509) 902-4658
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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