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Individual

MRS. CATHERINE E. STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, MSW, LCSW

Contact information

Practice address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 275-9071
(425) 275-9045
Mailing address
4230 198TH ST SW, LYNNWOOD, WA 98036-6762
(425) 275-9071
(425) 275-9045

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LW00006363
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7209716
AETNA PROVIDER NUMBER
WA
Enumeration date
11/30/2006
Last updated
07/08/2007
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