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Individual

JESSICA LYNN FORSYTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
1100 W CLARK RD # 829, CONNELL, WA 99326-9700
(509) 234-9218
Mailing address
1100 W CLARK RD # 829, CONNELL, WA 99326-9700
(509) 234-9218

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
61003757
WA

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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