Individual
KAREN-MARGRETHE DYBVAD BRUUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4956 DEMING RD, DEMING, WA 98244
(360) 383-2000
Mailing address
3353 BARKLEY BLVD, BELLINGHAM, WA 98226-4106
(360) 325-3912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003259
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09141680
ASHA CCC
MD
Enumeration date
01/31/2019
Last updated
01/31/2019
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