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1407317969
KIRK RYAN STADELMEYER
WALLA WALLA, WA
NPI
1407317969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LW60903087)
Enumeration Date
2019-03-27
Last Update Date
2019-03-27
Business Address
KIRK RYAN STADELMEYER LICSW
77 WAINWRIGHT DR BLDG 143
WALLA WALLA, WA 99362-3975
Phone number: 509-525-5200
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Mailing Address
KIRK RYAN STADELMEYER LICSW
77 WAINWRIGHT DR BLDG 143
WALLA WALLA, WA 99362-3975
Phone number: 509-525-5200
Copy
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