Individual
MS. IVA HAUKENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8753
Mailing address
8523 67TH AVE E, PUYALLUP, WA 98371-6405
(253) 250-1293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00002768
WA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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