Individual
SARA KEMP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
669 C WOODLAND SQUARE LP. SE, LACEY, WA 98513
(360) 357-3339
(360) 786-1793
Mailing address
669C WOODLAND SQUARE LP. SE, LACEY, WA 98513
(360) 357-3339
(360) 786-1793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002472
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102320
—
WA
01
—
REGENCE ID NUMBER
1234KE
WA
Enumeration date
11/29/2005
Last updated
07/09/2007
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