Individual
MS. SHAELENE IBBETSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5001 CALIFORNIA AVE SW APT 608, SEATTLE, WA 98136-1292
(206) 938-3507
Mailing address
5001 CALIFORNIA AVE SW APT 608, SEATTLE, WA 98136-1292
(206) 793-8350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003839
WA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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