Individual
KELLY RIPPY LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 S MAIN ST, SAINT JOHN, WA 99171-8772
(509) 648-3314
Mailing address
304 S MAIN ST, SAINT JOHN, WA 99171-8772
(509) 648-3313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003551
WA
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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