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1003021122
CATHERINE A MICKELSON
RENTON, WA
NPI
1003021122
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00001423)
Enumeration Date
2007-05-11
Last Update Date
2007-07-08
Business Address
-- CATHERINE A MICKELSON SLP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5165
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Mailing Address
-- CATHERINE A MICKELSON SLP
400 S 43RD ST
RENTON, WA 98055-5714
Phone number: 425-251-5165
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