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Individual

MS. PATRICIA KAY YOUNGMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS CCC SP

Contact information

Practice address
10740 MERIDIAN AVE N, STE 104, SEATTLE, WA 98133-9010
(206) 619-2263
Mailing address
PO BOX 1113, ISSAQUAH, WA 98027-0042
(206) 619-2263
(206) 365-1428

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001792
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106776
LABOR & INDUSTRIES
WA
01
8906471
CRIME VICTIMS
WA
01
Y05376
REGENCE BLUE SHIELD
WA
Enumeration date
09/15/2005
Last updated
07/08/2007
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