Individual
KERRI L FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
1036 E VICTORIA AVE, BURLINGTON, WA 98233-1623
(360) 755-0711
Mailing address
15165 ESTES RD, BOW, WA 98232-9202
(360) 755-0711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001658
WA
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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