Individual
ALEXANDRA SONJA KISSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
402 15TH AVE SE STE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5248
Mailing address
402 15TH AVE SE STE 100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60236854
WA
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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