Individual
MRS. DIANA GAY ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.A.
Contact information
Practice address
211 RAINIER AVE N., EATONVILLE, WA 98328
(360) 879-1800
(360) 879-1812
Mailing address
PO BOX 872, 302 RIDGE ROAD, EATONVILLE, WA 98328-0872
(360) 832-3556
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 60223140
WA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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