Individual
MRS. CHRISTINE LEA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1730 NW 58TH ST, UNIT B, SEATTLE, WA 98107-3041
(719) 287-9629
Mailing address
1730 NW 58TH ST, UNIT B, SEATTLE, WA 98107-3041
(719) 287-9629
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60442316
WA
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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