Individual
JESSICA MAE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1025 S 1ST AVE, OTHELLO, WA 99344-1845
(509) 488-2659
Mailing address
1025 S 1ST AVE, OTHELLO, WA 99344-1845
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60567966
WA
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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