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Individual

SHANNON NICOLE KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
330 MADISON AVE S STE 106, BAINBRIDGE ISLAND, WA 98110-2544
(206) 451-3084
Mailing address
1400 POTTERY AVE, PORT ORCHARD MEDICAL CENTER, PORT ORCHARD, WA 98366-3768
(360) 895-5000
(360) 895-5034

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60698639
WA

Other

Enumeration date
08/15/2016
Last updated
01/13/2017
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