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Individual

DANIEL J STACHELSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, CCC-SLP

Contact information

Practice address
7125 SILENT CREEK AVE SE, SNOQUALMIE, WA 98065-9063
(360) 303-9130
Mailing address
7125 SILENT CREEK AVE SE, SNOQUALMIE, WA 98065-9063
(360) 303-9130

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI 0000 3645
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12113292
ASHA
WA
01
LL00003914
WASHINGTON STATE LICENSE
WA
Enumeration date
07/07/2006
Last updated
07/15/2007
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