Individual
CAROL OVERCASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
8512 230TH STREET CT E, GRAHAM, WA 98338-6545
(253) 271-0378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60339517
WA
Other
Enumeration date
12/19/2013
Last updated
12/19/2013
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