Individual
MS. LEIANNE WILK FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
906 SE EVERETT MALL WAY STE 200, EVERETT, WA 98208-3743
(425) 353-5656
(425) 513-0917
Mailing address
14 E CASINO RD STE A, EVERETT, WA 98208-2628
(425) 775-6070
(425) 513-0917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60230416
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015213
—
WA
Enumeration date
11/08/2011
Last updated
01/07/2020
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