Individual
OLIVIA JANE MARTINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12309 22ND ST NE, LAKE STEVENS, WA 98258-9500
(425) 335-1500
Mailing address
9721 12TH PL SE, LAKE STEVENS, WA 98258-1992
(617) 610-6412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60975968
WA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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