Individual
KELSEY RAE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2121 NE 139TH ST, VANCOUVER, WA 98686-2316
(360) 487-1777
Mailing address
2121 NE 139TH STREET, MEDICAL OFFICE BUILDING A, SUITE #200, VANCOUVER, WA 98686-2742
(360) 487-1777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60773129
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285147876
—
WA
Enumeration date
11/06/2017
Last updated
01/15/2021
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