Individual
SUE JANE KEBLUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4364 CLYDE RD, LANGLEY, WA 98260-9540
(360) 221-8355
Mailing address
4364 CLYDE RD, LANGLEY, WA 98260-9540
(360) 221-8355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003239
WA
Other
Enumeration date
12/29/2009
Last updated
11/03/2011
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