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Individual

MRS. JESSICA A SIRS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
11823 SE 203RD ST, KENT, WA 98031-1691
(970) 215-0503
Mailing address
2830 I ST NE, AUBURN, WA 98002-2410

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60463487
WA

Other

Enumeration date
05/21/2014
Last updated
05/21/2014
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