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Individual

MS. DIANE JOY BEREITER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
503 N SEQUIM AVE, SEQUIM, WA 98382-3161
(360) 582-3226
Mailing address
100 EAGLE PL, SEQUIM, WA 98382-8843
(360) 683-5971

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 60220770
WA

Other

Enumeration date
03/08/2013
Last updated
03/08/2013
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