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Individual

CAROL A KILLINGSWORTH

Active
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Individual

CAROL A KILLINGSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00001153
WA
231HA2400X
Assistive Technology Practitioner Audiologist
LD00001153
WA
231HA2500X
Assistive Technology Supplier Audiologist
LD00001153
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209957
L&I
WA
05
—
7126048
—
WA
Enumeration date
10/29/2007
Last updated
10/29/2007
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