Individual
HAYLEY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14 E CASINO RD, A, EVERETT, WA 98208-2628
(425) 775-6070
Mailing address
14 E CASINO RD, A, EVERETT, WA 98208-2628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60313484
WA
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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