Individual
ALEXANDRA STREETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
517 ENSLEY LN SE, TUMWATER, WA 98501-4029
(360) 357-7419
Mailing address
517 ENSLEY LN SE, TUMWATER, WA 98501-4029
(360) 357-7419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8421547
—
WA
Enumeration date
06/13/2007
Last updated
07/09/2007
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