Individual
MRS. JACLYN LIANA COLBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9050 385TH AVE SE, SNOQUALMIE, WA 98065
(425) 888-3347
Mailing address
6768 E LEAFWOOD DR, ANAHEIM, CA 92807-5028
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
3206
CA
235Z00000X
Speech-Language Pathologist
Primary
PENDING
WA
Other
Enumeration date
07/16/2015
Last updated
02/09/2024
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