Individual
LIA KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 4TH ST, WOODLAND, WA 98674-8488
(360) 225-9443
Mailing address
18203 NE 23RD WAY, VANCOUVER, WA 98684-9706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60446518
WA
Other
Enumeration date
11/13/2014
Last updated
11/13/2014
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