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NPI Code Detail

MEDICARE: SERENE DARAE M.S, CCC-SLP

MEDICARE: SERENE DARAE M.S, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist122203TX
2235Z00000XSpeech-Language PathologistLL70048061WA

General Provider Information

NPI Number : 1568879310
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERENE DARAE M.S, CCC-SLP
Provider Business Mailing Address
First Line : 1314 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-4109
Country : US
Telephone Number : 253-237-3405
Fax Number :
Provider Business Practice Location Address
First Line : 1314 AUBURN WAY N
Second Line :
City : AUBURN
State : WA
Zip : 98002-4109
Country : US
Telephone Number : 253-237-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 01/20/2026

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Directions to “ SERENE DARAE M.S, CCC-SLP” Practice Location

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