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Individual

ANNA K TEALL

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115
Mailing address
123 W CASCADE WAY, SPOKANE, WA 99208-6017
(509) 624-3115

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61097168
WA
235Z00000X
Speech-Language Pathologist
TSLP-3995
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
61091768
STATE LICENSE
WA
Enumeration date
08/13/2019
Last updated
05/18/2022
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