Individual
MS. MIKKI KAY BRASHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6400
Mailing address
13501 NE 28TH ST, VANCOUVER, WA 98682-8091
(360) 604-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60240172
WA
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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