MEGANN IMDIEKE

LONGVIEW, WA
NPI1790157972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WA  465514H)
Enumeration Date2015-10-27
Last Update Date2015-10-27
Business Address
-- MEGANN IMDIEKE
2715 LILAC ST
LONGVIEW, WA 98632-3526
Phone number: 360-575-7307
Mailing Address
-- MEGANN IMDIEKE
16313 NE 34TH ST
VANCOUVER, WA 98682-8659
Phone number:
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