Individual
KIMBERLY RAE CASAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 967-6256
Mailing address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 967-6256
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60301402
WA
Other
Enumeration date
09/10/2012
Last updated
09/10/2012
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