Individual
MISS KATHLEEN MARIE SIEWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
700 NE 112TH ST, VANCOUVER, WA 98685-3930
(360) 313-2788
Mailing address
4310 NE 101ST. STREET, VANCOUVER, WA 98686
(360) 695-6624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60321527
WA
Other
Enumeration date
09/03/2012
Last updated
12/12/2012
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