Individual
KIRSTEN GOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3500 NW BUCKLIN HILL RD # 101, SILVERDALE, WA 98383-8503
(360) 692-2301
Mailing address
111 CAMANO LN, PORT LUDLOW, WA 98365-9655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002774
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8347379
—
WA
Enumeration date
11/17/2006
Last updated
07/08/2007
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