Individual
CLARENCE GAIL VICTORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(847) 609-9903
Mailing address
PO BOX 484, PORT ANGELES, WA 98362-0074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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