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Organization

ABIGAIL DESJARDIEN, M.A. CCC-SLP, LLC

Active
Other names
Northshore Pediatric Speech and Language Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
ABIGAIL DESJARDIEN M.A. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(425) 419-6199
Entity
Organization

Contact information

Practice address
18208 66TH AVE NE STE 200, KENMORE, WA 98028-7949
(425) 419-6199
(855) 891-8297
Mailing address
19207 63RD AVE NE, KENMORE, WA 98028-3329
(360) 920-3938

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
LL60051932
WA
261QH0700X
Hearing and Speech Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center
Primary
261QP2000X
Physical Therapy Clinic/Center

Other

Enumeration date
10/09/2018
Last updated
10/09/2018
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