Individual
AUDREY DE SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1129 W MAIN ST, MONROE, WA 98272-2034
(209) 642-0877
Mailing address
9210 REDMOND WOODINVILLE RD NE APT B214, REDMOND, WA 98052-7601
(209) 642-0877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
24751
CA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/01/2018
Last updated
07/20/2023
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