KELLY MARIE CARLSON

SHORELINE, WA
NPI1508928961
Former NameKELLY MARIE BULLION
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL00004054)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
Mrs. KELLY MARIE CARLSON CCC-SLP
17535 15TH AVE NE
SHORELINE, WA 98155-3801
Phone number: 206-440-9708
Mailing Address
Mrs. KELLY MARIE CARLSON CCC-SLP
11408 33RD ST NE
LAKE STEVENS, WA 98258-8789
Phone number: 425-971-0730