Individual
SAMANTHA DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3015 S 368TH ST, FEDERAL WAY, WA 98003-7669
(253) 945-3715
Mailing address
4257 S HOLDEN ST, SEATTLE, WA 98118-5133
(909) 610-5477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI60784694
WA
Other
Enumeration date
01/20/2018
Last updated
01/20/2018
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