Individual
MR. STANFORD NEAD MEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1308 E FAIRBANKS ST, UNIT B, TACOMA, WA 98404-3808
(253) 334-8409
Mailing address
1308 EAST FAIRBANKS STREET, UNIT B, TACOMA, WA 98404
(253) 334-8409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003733
WA
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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