Individual
MISS STEPHANIE MARIE SLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF/SLP
Contact information
Practice address
1006 N H ST, ABERDEEN, WA 98520-2521
(360) 537-6032
Mailing address
1006 N H ST, ABERDEEN, WA 98520-2521
(360) 537-6032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60227771
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XOH848380505
BLUECROSS BLUESHIELD OF ILLINOIS
IL
Enumeration date
07/07/2011
Last updated
07/07/2011
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