Individual
MRS. SALLY BRIDGES FOGARTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
710 NW JUNIPER ST, ISSAQUAH, WA 98027-2717
(425) 392-4965
Mailing address
13827 282ND CT NE, DUVALL, WA 98019-8178
(425) 788-1892
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004177
WA
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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