Individual
MRS. KELLY L ENGEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,SLP,CCC
Contact information
Practice address
106 E 15TH ST, VANCOUVER, WA 98663-3401
(360) 750-5850
(360) 750-7244
Mailing address
208 W 36TH ST, VANCOUVER, WA 98660-1936
(360) 750-5850
(360) 750-7244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002782
WA
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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