Individual
MICAELA SAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 SE 136TH AVE # 14, VANCOUVER, WA 98683-7014
(360) 604-6400
Mailing address
1112 SE 136TH AVE # 14, VANCOUVER, WA 98683-7014
(360) 604-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61304063
WA
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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