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Individual

KELSEY WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115
Mailing address
524 S HALLETT ST, MEDICAL LAKE, WA 99022-7000

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
60988510
STATE LICENSE
WA
Enumeration date
09/11/2018
Last updated
06/03/2022
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