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Individual

CHELLA BEAR PLASTIRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S CCC-SLP

Contact information

Practice address
275 PETERSON DRIVE EAST, ENUMCLAW, WA 98022
(828) 450-4694
Mailing address
3639 COURTLAND PL. SOUTH #B, SEATTLE, WA 98022
(425) 985-9385

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60271138
WA

Other

Enumeration date
03/13/2012
Last updated
03/13/2012
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