Individual
AMANDA LYNN BAIETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S 5TH AVE, SEQUIM, WA 98382-3944
(360) 582-3904
Mailing address
1000 S 5TH AVE, SEQUIM, WA 98382-3944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60158508
WA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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