Individual
MRS. GWENDOLYN MARIE TORGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1008 BETHEL AVE STE E, PORT ORCHARD, WA 98366-4236
(360) 871-2076
(360) 895-0203
Mailing address
2323 STEAMBOAT LOOP E, PORT ORCHARD, WA 98366-4833
(360) 769-7421
(360) 895-0203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003353
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8420614
—
WA
Enumeration date
11/17/2006
Last updated
07/09/2007
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