Individual
JENNIFER J DE JONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14715 BEL RED RD BLDG GS, BELLEVUE, WA 98007-3940
(425) 502-9440
Mailing address
14715 BEL RED RD BLDG GS, BELLEVUE, WA 98007-3940
(425) 502-9440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60289243
WA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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