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Individual

BRENDA J RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
1129 W MAIN ST STE 194, MONROE, WA 98272-2034
(360) 794-1061
(360) 794-9491
Mailing address
18130 105TH ST SE, SNOHOMISH, WA 98290-2148
(360) 794-1061
(360) 805-9491

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003884
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2146017
WA
Enumeration date
02/02/2007
Last updated
02/19/2021
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