Individual
JEAN H VANDONGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
151 SE MIDWAY BLVD, OAK HARBOR, WA 98277-5082
(360) 279-5100
Mailing address
151 SE MIDWAY BLVD, OAK HARBOR, WA 98277-5082
(360) 279-5100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60683100
WA
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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