Individual
ALECIA LYNN DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
9000 NE WEST KINGSTON RD, KINGSTON, WA 98346-9327
(314) 920-1523
Mailing address
22275 DAUNTLESS DR NW UNIT 108, POULSBO, WA 98370-4009
(314) 920-1523
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2009036119
MO
235Z00000X
Speech-Language Pathologist
Primary
LL60299421
WA
235Z00000X
Speech-Language Pathologist
TSLP-1747
ID
Other
Enumeration date
07/08/2008
Last updated
09/13/2024
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