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DAVID ALEXANDER ICANBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
16710 SMOKEY POINT BLVD STE 402, ARLINGTON, WA 98223-8435
(360) 363-4234
(360) 363-4235
Mailing address
9721 12TH PL SE, LAKE STEVENS, WA 98258-1992
(510) 919-4029

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60976960
WA

Other

Enumeration date
05/15/2020
Last updated
05/15/2020
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