Individual
MRS. KRISTEN MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4670
Mailing address
305 COLLEGE ST. NE, LACEY, WA 98503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60277417
WA
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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