Individual
MS. LISIA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5709 W SUNSET HWY STE 100, SPOKANE, WA 99224-9446
(509) 209-2739
Mailing address
116 N STANLEY ST, MEDICAL LAKE, WA 99022-8813
(509) 435-7564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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