Individual
MS. KATHLEEN MARIE PORUCZNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
13954 NE 60TH WAY APT 110, REDMOND, WA 98052-4544
(425) 890-0998
Mailing address
301 MINOR AVE N UNIT 421, SEATTLE, WA 98109-5463
(216) 337-3835
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004654
WA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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