Individual
NICHOLE CARUBIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00004767
WA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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