Individual
MRS. CARRIE SIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
9212 E MONTGOMERY AVE, #103, SPOKANE VALLEY, WA 99206-4239
(509) 922-0855
(509) 921-0050
Mailing address
11004 E 19TH AVE, SPOKANE VALLEY, WA 99206-2305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004114
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8441453
—
WA
Enumeration date
11/14/2006
Last updated
11/07/2007
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