Individual
STEFANIE LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
937 NW 58TH ST, SEATTLE, WA 98107-2857
(917) 747-2470
Mailing address
600 QUEEN ANNE AVENUE NORTH, DREAMCLINIC, SEATTLE, WA 98109
(206) 453-4137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
60321561
WA
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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