Individual
LISA CHRISTINE KETTLESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
200 N BERNARD ST, SPOKANE, WA 99201-0206
(509) 795-1725
Mailing address
4203 S HATCH ST, SPOKANE, WA 99203-6245
(425) 681-3176
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60040767
WA
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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