Individual
LAURA JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3120 RIDGEVIEW CT SW, TUMWATER, WA 98512-6373
(360) 709-7300
Mailing address
3120 RIDGEVIEW CT SW, TUMWATER, WA 98512-6373
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60695030
WA
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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