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Individual

ANDREA KRISTIN DUPUY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
914 4TH ST NE, AUBURN, WA 98002
(253) 931-4900
Mailing address
7715 ZIRCON DR SW, LAKEWOOD, WA 98498-5117
(402) 990-7277

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
126
NE
235Z00000X
Speech-Language Pathologist
Primary
LL60107089
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47065477700
NE
Enumeration date
01/29/2007
Last updated
09/26/2012
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