Individual
SANDRA MAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1000 W 4TH AVE, KENNEWICK, WA 99336-5533
(509) 222-5600
Mailing address
4810 MOJAVE DR, PASCO, WA 99301-8100
(509) 499-4230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60698567
WA
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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