Individual
JANE ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Mailing address
140 E MAIN ST, OTHELLO, WA 99344-1040
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003524
WA
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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