Individual
MS. VICKI LYNN VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
514 4TH ST, SULTAN, WA 98294-9474
(360) 793-9800
Mailing address
514 4TH ST, SULTAN, WA 98294-9474
(360) 793-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01033321
WA
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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