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Individual

MS. ALISA CAROL BALL

Active
Sole proprietor
Yes

Provider details

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

Contact information

Practice address
274 OLD HOMESTEAD ROAD, LOPEZ ISLAND, WA 98261
(360) 468-9032
Mailing address
PO BOX 871, LOPEZ ISLAND, WA 98261-0871
(360) 468-9032

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003379
WA

Other

Enumeration date
08/15/2008
Last updated
08/15/2008
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