Individual
CAITLIN PATRICIA GALLUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11104 NE 149TH ST, BRUSH PRAIRIE, WA 98606-9565
(360) 885-5318
Mailing address
PO BOX 200, BATTLE GROUND, WA 98604-0200
(360) 885-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60323518
WA
Other
Enumeration date
01/22/2013
Last updated
01/22/2013
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