Individual
JENNIFER FORIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8502 N NEVADA ST # 2, SPOKANE, WA 99208-7395
(509) 487-2958
(509) 487-3025
Mailing address
3311 W LONGFELLOW AVE, SPOKANE, WA 99205-1721
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60020646
WA
235Z00000X
Speech-Language Pathologist
SI00004590
WA
Other
Enumeration date
07/05/2007
Last updated
04/22/2013
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