Individual
NANCY WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC/SLP
Contact information
Practice address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506-6927
(360) 493-4356
(360) 493-7977
Mailing address
410 PROVIDENCE LN NE, OLYMPIA, WA 98506-6927
(360) 493-4356
(360) 493-7977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002946
WA
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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