Individual
MRS. AUDRIE BETH LUCZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
601 CRAWFORD ST, KELSO, WA 98626-4315
(360) 501-1900
Mailing address
5709 NE 130TH ST, VANCOUVER, WA 98686-4932
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
559558B
WA
Other
Enumeration date
09/02/2020
Last updated
09/23/2023
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