Individual
SUSAN SHERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
216 E 4TH ST, PORT ANGELES, WA 98362-3200
(360) 457-8575
Mailing address
216 E 4TH ST, PORT ANGELES, WA 98362-3200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60335829
WA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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