Individual
CHARLOTTE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4733 DELRIDGE WAY SW, SEATTLE, WA 98106-1330
(919) 624-6103
Mailing address
4733 DELRIDGE WAY SW, SEATTLE, WA 98106-1330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61503737
WA
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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