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Individual

STACEY BABCOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
31 SE ASH AVE, COLLEGE PLACE, WA 99324-1187
(509) 525-5110
Mailing address
912 FRAZIER DR, WALLA WALLA, WA 99362-1517
(509) 540-6349

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1041S0200X
WA

Other

Enumeration date
09/18/2020
Last updated
09/21/2020
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