Individual
KAITLYN BROOKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-1200
Mailing address
8312 NW GREENBRIAR DR, VANCOUVER, WA 98665-7745
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60792101
WA
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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