Individual
AARON DAVENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10903 GRAVELLY LAKE DR SW, LAKEWOOD, WA 98499-1341
(253) 583-5000
Mailing address
3310 TAHOMA PL W, UNIVERSITY PL, WA 98466-1621
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60583757
WA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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