Individual
GRACE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 1ST ST NE, YELM, WA 98597
(360) 458-1900
Mailing address
3312 E G ST UNIT A, TACOMA, WA 98404-1633
(816) 529-8516
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61482629
WA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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