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NPI Code Detail

MEDICARE: MS. SUNDAE ELAINE STONE MSW

MEDICARE: MS. SUNDAE ELAINE STONE MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1780432328
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SUNDAE ELAINE STONE MSW
Provider Business Mailing Address
First Line : 2697 JASON LOOP
Second Line :
City : RICHLAND
State : WA
Zip : 99352-7329
Country : US
Telephone Number : 509-460-3946
Fax Number :
Provider Business Practice Location Address
First Line : 920 6TH ST
Second Line :
City : CLARKSTON
State : WA
Zip : 99403-2079
Country : US
Telephone Number : 509-254-5053
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2024
Last Update Date : 05/13/2024

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