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Individual

MS. KIRSTY MARIE DOCKEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOM, L.AC, MA SLP

Contact information

Practice address
706 MARKET ST, TACOMA, WA 98402-3712
(253) 473-7830
Mailing address
1515 10TH AVE SE, OLYMPIA, WA 98501-1725
(503) 544-7665

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC60208465
WA
235Z00000X
Speech-Language Pathologist
LL00004762
WA

Other

Enumeration date
06/08/2011
Last updated
06/08/2011
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