Individual
SHARI DAWN MOUSE LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 388-1300
(206) 328-6871
Mailing address
1625 19TH AVE, SEATTLE, WA 98122-2848
(206) 388-1300
(206) 328-6871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60184542
WA
Other
Enumeration date
10/14/2010
Last updated
06/11/2013
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