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1235769977
STACIA BENTON
OLYMPIA, WA
NPI
1235769977
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2020-01-22
Last Update Date
2024-11-05
Business Address
STACIA BENTON
402 YAUGER WAY SW
OLYMPIA, WA 98502-8660
Phone number: 360-878-8248
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Mailing Address
STACIA BENTON
14367 99TH AVE SE
YELM, WA 98597-7774
Phone number: 816-588-6389
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