| NPI | 1750473112 |
|---|---|
| Doing Business As | JC SPEECH PATHOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA ANNE CIARLO President 509-662-3762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: WA LL00003214) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: WA LH00010914) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |