Individual
ANGELA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2929 5TH AVE NE, PUYALLUP, WA 98372-6782
(253) 447-8216
Mailing address
4445 S 332ND PL, FEDERAL WAY, WA 98001-5150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60890003
WA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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