Individual
VINA SARGENT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1871 NW GILMAN BLVD, SUITE 2, ISSAQUAH, WA 98027-8116
(425) 657-0620
Mailing address
1871 NW GILMAN BLVD, SUITE 2, ISSAQUAH, WA 98027-8116
(425) 657-0620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60254221
WA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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