Individual
SAMANTHA JEANNE WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 33RD ST, VANCOUVER, WA 98663-2238
(360) 696-2561
Mailing address
18209 SE 20TH WAY, VANCOUVER, WA 98683-1800
(925) 324-5250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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