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1376654228
STACI SPROUT
SEATTLE, WA
NPI
1376654228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00006544)
Enumeration Date
2006-08-31
Last Update Date
2011-09-07
Business Address
-- STACI SPROUT LICSW, CSAT
1800 WESTLAKE AVE N SUITE 102A
SEATTLE, WA 98109-2704
Phone number: 206-949-6150
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Mailing Address
-- STACI SPROUT LICSW, CSAT
1800 WESTLAKE AVE N SUITE 102A
SEATTLE, WA 98109-2704
Phone number: 206-949-6150
Copy
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