Individual
TIFFANI KITTILSTVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
22443 SE 240TH ST STE B101, MAPLE VALLEY, WA 98038-5879
(425) 358-7160
Mailing address
22443 SE 240TH ST STE B101, MAPLE VALLEY, WA 98038-5879
(425) 358-7160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60861871
WA
Other
Enumeration date
10/02/2018
Last updated
10/02/2018
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