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Individual

ALYSSA STAPLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
112 E SPENCER LAKE RD, SHELTON, WA 98584-7307
(661) 313-0854
Mailing address
2734 STRATFORD LN SW APT 2215, TUMWATER, WA 98512-6009

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61089912
WA

Other

Enumeration date
10/07/2020
Last updated
10/07/2020
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