Individual
EMILY CANNAVARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., S.L.P., LMT
Contact information
Practice address
213 DECATUR ST, PORT TOWNSEND, WA 98368-4623
(541) 517-4923
Mailing address
1311 GISE ST, PORT TOWNSEND, WA 98368-8406
(541) 517-4492
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60940374
WA
235Z00000X
Speech-Language Pathologist
13221
OR
Other
Enumeration date
05/25/2009
Last updated
11/27/2019
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