Individual
KRISTIN LUCILLE CHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-SLP
Contact information
Practice address
1850 BOYER AVE E, SEATTLE, WA 98112-2922
(206) 325-8477
(206) 323-1385
Mailing address
1850 BOYER AVE E, SEATTLE, WA 98112-2922
(206) 325-8477
(206) 323-1385
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60647821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7020464
—
WA
Enumeration date
06/23/2016
Last updated
06/23/2016
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