Individual
SALLY STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1002 N SUPERIOR ST, SPOKANE, WA 99202-2059
(509) 892-9241
(509) 892-9251
Mailing address
1700 S ASSEMBLY RD STE 300, SPOKANE, WA 99224-2116
(509) 892-9241
(509) 892-9251
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60149998
WA
Other
Enumeration date
09/08/2016
Last updated
07/28/2022
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