Individual
STACY DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33 S 2ND AVE, YAKIMA, WA 98902-3414
(509) 573-2149
Mailing address
7660 N FORK RD, YAKIMA, WA 98903-9052
(509) 972-4839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60555437
WA
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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