Individual
ANITHA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6325 91ST ST NE, MARYSVILLE, WA 98270-2875
(360) 965-1900
Mailing address
4508 135TH PL SE UNIT 4, MILL CREEK, WA 98012-8981
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61230322
WA
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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