JACQUELINE KAY DIERCKS

VANCOUVER, WA
NPI1295960144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  460776H)
Enumeration Date2009-05-21
Last Update Date2009-05-21
Business Address
Ms. JACQUELINE KAY DIERCKS
6511 NE 18TH ST
VANCOUVER, WA 98661-6869
Phone number: 360-759-4917
Mailing Address
Ms. JACQUELINE KAY DIERCKS
PO BOX 2277
VANCOUVER, WA 98668-2277
Phone number: 360-759-4917