Individual
KASEY MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 S PARK ST, DEER PARK, WA 99006-7025
(509) 276-2005
Mailing address
702 S PARK ST, DEER PARK, WA 99006-7025
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60461644
WA
Other
Enumeration date
11/03/2015
Last updated
11/03/2015
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