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1770198533
STACY JANE HEINLE
RENTON, WA
NPI
1770198533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00009488)
Enumeration Date
2020-09-09
Last Update Date
2020-09-09
Business Address
STACY JANE HEINLE
16612 124TH AVE SE
RENTON, WA 98058-5364
Phone number: 425-830-7809
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Mailing Address
STACY JANE HEINLE
16612 124TH AVE SE
RENTON, WA 98058-5364
Phone number: 425-830-7809
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