Individual
MRS. VIRGINIA INEZ KNOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 OLYMPIA WAY, LONGVIEW, WA 98632-4505
(360) 501-8706
Mailing address
902 CASTLEMAN DR, LONGVIEW, WA 98632-4615
(360) 430-3715
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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