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Individual

MICHELLE DAWN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 178TH AVE E, LAKE TAPPS, WA 98391-6411
(253) 862-2537
Mailing address
1320 178TH AVE E, LAKE TAPPS, WA 98391-6411
(253) 862-2537

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
235Z00000X
Speech-Language Pathologist
Primary
LL61609947
WA

Other

Enumeration date
10/19/2012
Last updated
03/07/2025
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