Individual
CHARLIE FAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 NE HAMPE WAY, SUITE C4-1 BOX 8, CHEHALIS, WA 98532-0008
(360) 748-3384
Mailing address
151 NE HAMPE WAY, SUITE C4-1 BOX 8, CHEHALIS, WA 98532-0008
(360) 748-3384
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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