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Individual

JONATHAN D BROCKMAN-HAWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2108 CATON WAY SW, OLYMPIA, WA 98502-1105
(530) 318-8306
Mailing address
PO BOX 12022, OLYMPIA, WA 98508-2022
(530) 318-8306

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/15/2013
Last updated
01/13/2018
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