Individual
MRS. KARA RENEE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC - SLP
Contact information
Practice address
1100 34TH ST., WASHOUGAL, WA 98671
(360) 954-3775
(360) 954-3799
Mailing address
1100 34TH ST., WASHOUGAL, WA 98671
(360) 954-3775
(360) 954-3799
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12027111
WA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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