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Individual

MISS KERRI ROSE STUBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
(844) 620-1839
Mailing address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7789

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015145
OR
235Z00000X
Speech-Language Pathologist
LL60594915
WA

Other

Enumeration date
09/12/2013
Last updated
08/28/2023
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