Individual
RIELLY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
801 TRAIL RD, SEDRO WOOLLEY, WA 98284-9302
(360) 855-3036
Mailing address
12229 MAPLE CREST DR, BURLINGTON, WA 98233-3568
(360) 540-2303
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
60868541
WA
235Z00000X
Speech-Language Pathologist
Primary
SI61194426
WA
Other
Enumeration date
09/11/2018
Last updated
09/30/2021
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