Individual
CARLY SHARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 LONG AVE, KELSO, WA 98626-1116
(360) 501-1586
Mailing address
404 LONG AVE, KELSO, WA 98626-1116
(360) 501-1586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60328600
WA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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