Individual
RAEANN MARIE FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP, ESA
Contact information
Practice address
1100 W CLARK RD # 829, CONNELL, WA 99326-9700
(509) 234-9218
(509) 234-9204
Mailing address
1100 W CLARK RD # 829, CONNELL, WA 99326-9700
(509) 234-9218
(509) 234-9204
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
367286B
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367286B
EDUCATIONAL STAFF ASSOCIATE, SCHOOL SPEECH LANGUAGE PATHOLOGIST
WA
Enumeration date
01/11/2013
Last updated
01/11/2013
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