JENNIFER WINES

BRUSH PRAIRIE, WA
NPI1700128006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  LL 60325334)
Enumeration Date2013-03-25
Last Update Date2013-03-25
Business Address
-- JENNIFER WINES CCC-SLP
11104 NE 149TH ST
BRUSH PRAIRIE, WA 98606-9565
Phone number: 360-885-5318
Mailing Address
-- JENNIFER WINES CCC-SLP
PO BOX 200
BATTLE GROUND, WA 98604-0200
Phone number: 360-885-5300
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