Individual
NATRECE NICKISHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
Mailing address
2549 S MERIDIAN APT Z102, PUYALLUP, WA 98373-1642
(858) 336-4376
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60026338
WA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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