Individual
ADELLE S STUBBLEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3 ROGER LN, ELMA, WA 98541-9504
(360) 747-7414
(360) 667-2666
Mailing address
PO BOX 1329, ELMA, WA 98541-1329
(360) 747-7414
(360) 667-2666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-34901
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508234550
—
ID
Enumeration date
09/08/2015
Last updated
05/14/2025
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