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Individual

HAYLEE LAYNE DUDLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
4050 HIGHWAY 8, TROY, ID 83871-9654
(509) 638-9801
Mailing address
PO BOX 95, DEMING, WA 98244-0095

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61002593
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14175027
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
WA
Enumeration date
10/04/2019
Last updated
09/14/2021
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