Individual
EMMA JALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE, LACEY, WA 98516-1378
(360) 786-1753
Mailing address
3231 WILLAMETTE DR NE, LACEY, WA 98516-1378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
09/12/2023
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