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Individual

LOGAN MAIVE RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS SLP

Contact information

Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Mailing address
514 19TH AVE E APT 412, SEATTLE, WA 98112-4083

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI70053797
WA

Other

Enumeration date
01/29/2026
Last updated
01/29/2026
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