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Individual

SARAH ANNE HENDERSON

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
1015 N GARRISON RD, VANCOUVER, WA 98664-1313
(360) 694-7501
Mailing address
1015 N GARRISON RD, VANCOUVER, WA 98664-1313
(360) 694-7501

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
13648
OR
235Z00000X
Speech-Language Pathologist
Primary
60318904
WA
235Z00000X
Speech-Language Pathologist
9927
NC

Other

Enumeration date
08/06/2012
Last updated
01/27/2017
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