Individual
GLORIA SELINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ARCHWOOD DR SW UNIT 398, OLYMPIA, WA 98502-5602
(360) 753-3854
Mailing address
1111 ARCHWOOD DR SW UNIT 398, OLYMPIA, WA 98502-5602
(360) 753-3854
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60329363
WA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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