Individual
MISTY DONALEE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
14 E CASINO RD, BUILDING C, EVERETT, WA 98208-2628
(425) 513-1663
Mailing address
4714 HIDDEN FOREST DR APT 10H, MUKILTEO, WA 98275-3734
(206) 399-1440
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003565
WA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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