Individual
SAVANAH CAROLINE DEPEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 5TH AVE SE, LACEY, WA 98503-1521
(360) 412-4610
Mailing address
8306 55TH AVE SE, OLYMPIA, WA 98513-4606
(360) 640-1408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61457605
WA
235Z00000X
Speech-Language Pathologist
SI61325561
WA
Other
Enumeration date
11/09/2022
Last updated
10/31/2023
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