Individual
SONJA MIRIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-2900
Mailing address
1103 SE 94TH AVE, VANCOUVER, WA 98664-3621
(917) 715-6340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
015818
OR
235Z00000X
Speech-Language Pathologist
Primary
LL60662797
WA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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