Individual
TAYLOR SOURELOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7632 S MISSION DR, SEATTLE, WA 98178-3140
(253) 905-1246
Mailing address
7632 S MISSION DR, SEATTLE, WA 98178-3140
(253) 905-1246
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60677417
WA
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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