Individual
JENNESSA CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(360) 489-6485
Mailing address
10520 CREEK ST SE APT E203, YELM, WA 98597-9832
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPI.SI.70009049
WA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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