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Individual

ABBY MICHELE CLEMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4407 N DIVISION ST STE 304, SPOKANE, WA 99207-1613
(509) 474-9694
Mailing address
4407 N DIVISION ST STE 304, SPOKANE, WA 99207-1613

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61311092
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL61311092
WASHINGTON DEPARTMENT OF HEALTH
WA
Enumeration date
02/07/2023
Last updated
02/07/2023
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