Individual
MS. LORI MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 NE 149TH STREET, BRUSH PRAIRIE, WA 98606
(360) 885-5318
Mailing address
PO BOX 200, BATTLE GROUND, WA 98604
(360) 885-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60498617
WA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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