Individual
CARLY DENISE GENEVA KORANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 766-2670
(509) 766-2689
Mailing address
1620 S PIONEER WAY, MOSES LAKE, WA 98837-2487
(509) 766-2670
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61099594
WA
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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