Individual
CORINNE MICHELA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1927 63RD ST NE, TACOMA, WA 98422-1389
(253) 517-5894
Mailing address
1927 63RD ST NE, TACOMA, WA 98422-1389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60229270
WA
Other
Enumeration date
01/08/2013
Last updated
01/09/2013
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