Individual
KIMBERLY ANN SANSONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA SLP CCC
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7104
(425) 258-7129
Mailing address
PO BOX 5041, EVERETT, WA 98206-5041
(425) 512-0353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15410
CA
235Z00000X
Speech-Language Pathologist
Primary
LL00004684
WA
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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