Individual
CHARLA TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 NORTH A STREET, BUCKLEY, WA 98321
(360) 829-0600
Mailing address
693 KLINK ST, BUCKLEY, WA 98321-9587
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.LL.61404247
WA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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