Individual
STEPHANIE EBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1410 8TH AVE, LONGVIEW, WA 98632-3807
(360) 575-7429
Mailing address
1410 8TH AVE, LONGVIEW, WA 98632-3807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60967966
WA
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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