Individual
KELLY G ROCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SP, ESA
Contact information
Practice address
16915 32ND AVE E, TACOMA, WA 98446-1307
(253) 548-9883
Mailing address
16915 32ND AVE E, TACOMA, WA 98446-1307
(253) 548-9883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003331
WA
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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