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Individual

MS. LISA LEA STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC-SLP

Contact information

Practice address
214 E PINE STREET, OAKVILLE, WA 98568
(360) 273-0220
(360) 273-5510
Mailing address
PO BOX 225, 214 E PINE, OAKVILLE, WA 98568-0225
(360) 273-0220
(360) 273-5510

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003281
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7138308
WA
Enumeration date
12/11/2006
Last updated
02/01/2012
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