Individual
MRS. LYNN DICESARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2000 FRANKLIN ST, VANCOUVER, WA 98660-2542
(360) 604-6700
Mailing address
4400 NE 122ND AVE, VANCOUVER, WA 98682-6836
(360) 604-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60405105
WA
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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