Individual
KELLY LAMAR CRAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6700
Mailing address
PO BOX 8910, VANCOUVER, WA 98668-8910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/19/2017
Last updated
08/19/2017
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