| NPI | 1215332580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY LOWERY GUNSON Speech Language Pathologist 360-885-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |