Individual
PEGGY GLASS PAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
1218 S 10TH ST, MOUNT VERNON, WA 98274-5022
(360) 336-2409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60061894
WA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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