Individual
STEPHANIE JEAN STAVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
3075 W DISCOVERY LOOP, WASILLA, AK 99654-1257
(907) 841-3910
Mailing address
2521 E MOUNTAIN VILLAGE DR STE B, WASILLA, AK 99654-7332
(907) 841-3910
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
05/06/2021
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