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Individual

JILL WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
615 SNOW AVE, RICHLAND, WA 99352-3851
(509) 967-6308
Mailing address
5602 KENRA LOOP, WEST RICHLAND, WA 99353-6066
(509) 627-0216

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60301415
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL60301415
WASHINGTON STATE DEPT. OF HEALTH SPEECH LANGUAGE PAHTOLOGIST LICENSES
WA
Enumeration date
11/15/2012
Last updated
11/15/2012
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