Individual
LEAH COLLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 176TH ST E, SPANAWAY, WA 98387-8335
(253) 683-8927
Mailing address
319 N TACOMA AVE APT 600, TACOMA, WA 98403-2712
(216) 233-5310
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60499331
WA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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