Individual
MRS. SANDRA LEA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPA.,CCC-SLP
Contact information
Practice address
5200 TURKINGTON RD, ACME, WA 98220
(360) 383-2012
Mailing address
1820 SAMISH LN, BELLINGHAM, WA 98229-9321
(360) 676-0165
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60312910
WA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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