Individual
KACIE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPI
Contact information
Practice address
23123 172ND AVE SE, KENT, WA 98042-4713
(253) 638-1990
Mailing address
29114 132ND AVE E, GRAHAM, WA 98338-7556
(253) 486-7123
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61097401
WA
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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