Individual
ALICIA NICOLE WAGNER STONEHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(360) 240-0022
Mailing address
1804 W GORDON AVE, SPOKANE, WA 99205-2540
(425) 344-7972
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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