| NPI | 1255896528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE DAVIS Speech Language Pathologist 360-630-8734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |