Individual
KENNA STUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2323 W BROADWAY AVE, STE 3, MOSES LAKE, WA 98837-2676
(509) 707-0336
Mailing address
PO BOX 2994, WENATCHEE, WA 98807-2994
(509) 888-3062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60679186
WA
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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