Individual
KATIE ELAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1801 1ST AVE STE 3A, LONGVIEW, WA 98632-3271
(360) 636-4469
Mailing address
1801 1ST AVE STE 3A, LONGVIEW, WA 98632-3271
(360) 636-4469
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
3672
ID
231H00000X
Audiologist
Primary
LD60965806
WA
Other
Enumeration date
06/07/2018
Last updated
07/11/2019
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