Individual
SARA MIA BECKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27089 HIGHLAND RD NE, KINGSTON, WA 98346-8408
(360) 396-7552
Mailing address
27089 HIGHLAND RD NE, KINGSTON, WA 98346-8408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61228446
WA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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