Individual
MRS. NICOLE SANDY MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1215 W LEWIS ST, PASCO, WA 99301-5472
(509) 543-6703
Mailing address
1819 VALMORE PL, RICHLAND, WA 99352-8575
(509) 627-1779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60220031
WA
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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