Individual
SUSAN OBLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8117 STONE AVE N, SEATTLE, WA 98103-4414
(206) 535-8876
Mailing address
1113 IRENE PL NE, BAINBRIDGE ISLAND, WA 98110-1933
(206) 393-8523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL000003473
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00003473
LICENSED SPEECH LANGUAGE PATHOLOGIST
WA
Enumeration date
06/10/2014
Last updated
06/10/2014
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