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Individual

ELIZABETH WALDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(318) 675-9046
Mailing address
19717 DELPHIN CIR, EAGLE RIVER, AK 99577-8706
(318) 675-9046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
485
AK

Other

Enumeration date
04/01/2014
Last updated
04/01/2014
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