Individual
ABIGAIL GRACE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
319 S CEDAR ST, SPOKANE, WA 99201-7029
(509) 209-7429
(509) 340-9942
Mailing address
319 S CEDAR ST, SPOKANE, WA 99201-7029
(509) 209-7429
(509) 340-9942
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61110974
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL61110974
STATE LICENSE
WA
Enumeration date
10/27/2020
Last updated
10/27/2020
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