Individual
KATELYN VANDERVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 11TH ST, SEDRO WOOLLEY, WA 98284-1872
(360) 855-3500
Mailing address
1220 11TH ST, SEDRO WOOLLEY, WA 98284-1872
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP60713017
WA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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