Individual
JOANNE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00009621
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106275
—
NC
Enumeration date
01/30/2007
Last updated
01/28/2021
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