Individual
MADELINE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
600 SLEATER KINNEY RD NE, OLYMPIA, WA 98506-5241
(360) 412-4800
Mailing address
2430 PROSPECT AVE NE, OLYMPIA, WA 98506-9301
(360) 265-1297
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61070316
WA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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