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Individual

MR. SETH BRUCE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
11014 39TH AVE NE, SEATTLE, WA 98125-5714
(206) 363-6487
Mailing address
11014 39TH AVE NE, SEATTLE, WA 98125-5714
(206) 363-6487

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004512
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL00004512
WASHINGTON STATE LICENSE
WA
Enumeration date
11/18/2007
Last updated
11/18/2007
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