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Individual

ANGELA E SIEGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Mailing address
3122 W 32ND ST, ERIE, PA 16506-2816
(814) 450-9968

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60870454
WA
235Z00000X
Speech-Language Pathologist
SLP.0003042
CO

Other

Enumeration date
02/12/2018
Last updated
01/15/2019
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