Individual
MRS. COLEEN BROAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFICATE
Contact information
Practice address
18205 SE 12TH CIR, VANCOUVER, WA 98683-5541
(360) 892-5524
Mailing address
18205 SE 12TH CIR, VANCOUVER, WA 98683-5541
(360) 892-5524
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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