Individual
MRS. CATHLEEN MARIE QUEENO-WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
67 NE IZETT ST, OAK HARBOR, WA 98277-5995
(360) 279-5544
(360) 279-5070
Mailing address
1072 LANDING CIR, OAK HARBOR, WA 98277-8253
(360) 675-1435
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60297463
WA
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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