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
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-4245
- Phone
- (509) 899-5512
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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