Individual
SAMANTHA JANE LIDDIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
702 N GRANITE FALLS AVE, GRANITE FALLS, WA 98252
(360) 691-7719
Mailing address
1620 36TH ST, BELLINGHAM, WA 98229-3222
(206) 226-5097
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
61370786
WA
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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