Individual
HEIDI STONEBRAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1100 JACKSON AVE, RAYMOND, WA 98577-3308
(360) 942-2424
(360) 942-5287
Mailing address
1952 E 7000 S, STE 100, SALT LAKE CITY, UT 84121-6878
(801) 942-3311
(801) 942-5955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001574
WA
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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