Individual
MRS. LOGEN FREY THIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
6715 KIRSOP VILLAGE DR SW, TUMWATER, WA 98512-7901
(210) 860-5198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
70010957
WA
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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