W Davida Stafford, AAC, MHP

NPI #1114580594 in Centralia, Washington

Provider Information

NPI Number
1114580594
Entity Type
Individual
Name
W Davida Stafford, AAC, MHP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor
Credential
AAC, MHP
Enumeration Date
Apr 21, 2019
Last Updated
Apr 21, 2019

Practice Location

Address
209 W MAIN ST
ZIP Code
98531-4245
Phone
(509) 899-5512

Specialties & Taxonomy Codes

Specialty
Counselor

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