Individual
MCKENNA MADDALENA STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
(360) 750-7500
Mailing address
2500 NE 65TH AVE, VANCOUVER, WA 98661-6812
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.61536914
WA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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