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Individual

LUCIA BRANDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
811 W 2ND AVE, SUITE 207, SPOKANE, WA 99201-4402
(509) 939-2941
Mailing address
1616 E BISMARK AVE, SPOKANE, WA 99208-2811
(509) 990-3922

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60676408
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7441017
WA
Enumeration date
06/13/2016
Last updated
09/28/2016
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