Individual
JESSICA ANNE CONNERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2275 152ND AVENUE NE, REDMOND, WA 98052
(206) 412-6037
Mailing address
11107 RENTON ISSAQUAH RD SE, ISSAQUAH, WA 98027-8696
(206) 793-1568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60143431
WA
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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