Individual
JULIE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 3RD AVE, LONGVIEW, WA 98632-3231
(360) 425-9810
Mailing address
1600 3RD AVE, LONGVIEW, WA 98632-3231
(360) 425-9810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S160815593
WA
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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