Individual
MELISSA M LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
809 FIR ST, EDMONDS, WA 98020-3959
(206) 406-9415
Mailing address
809 FIR ST, EDMONDS, WA 98020-3959
(206) 406-9415
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003260
WA
Other
Enumeration date
04/27/2023
Last updated
04/27/2023
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