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Individual

KATHERINE JELENE FOWLER JUSTUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC SLP

Contact information

Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(260) 948-0096
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(260) 948-0096

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61423994
WA

Other

Enumeration date
04/04/2023
Last updated
03/06/2025
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