Individual
MS. LEENA MARIA DIVECHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP CCC
Contact information
Practice address
209 E PARK STREET, NAPAVINE, WA 98532
(360) 262-3345
Mailing address
1303 PUGET ST NE, OLYMPIA, WA 98506-4131
(971) 570-9673
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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