Individual
MRS. HEATHER MICKLE YARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5844 BALUSTRADE BLVD SE, LACEY, WA 98513-5076
(334) 391-2553
Mailing address
5844 BALUSTRADE BLVD. SE, LACEY, WA 98513-5076
(334) 391-2553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12156111
AL
235Z00000X
Speech-Language Pathologist
Primary
LL 60203329
WA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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