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Organization
EVERGREEN THERAPY CONNECTIONS, LLC
Active
Organization
EVERGREEN THERAPY CONNECTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA L FUGGITI MA CCC-SLP (OWNER/SPEECH PATHOLOGIST)
(971) 319-0687
Entity
Organization
Contact information
Practice address
520 20TH ST APT 1, WASHOUGAL, WA 98671-1563
(971) 319-0687
Mailing address
520 20TH ST APT 1, WASHOUGAL, WA 98671-1563
(971) 319-0687
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
LL60607604
WA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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