Individual
SAMANTHA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(206) 221-6806
Mailing address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61096902
WA
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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