Individual
DEBBIE JO KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 WHITEHAWK BLVD NW, ORTING, WA 98360-7480
(360) 893-3565
Mailing address
121 WHITESELL ST NE, ORTING, WA 98360-8410
(360) 893-6500
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP60224694
WA
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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