Individual
SHEILA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
(360) 428-6167
Mailing address
2410 N 25TH PL, MOUNT VERNON, WA 98273-5860
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP 60236318
WA
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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