Individual
DANA MARKLUND THARALDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT / AAC
Contact information
Practice address
7701 OAK BAY RD, PORT LUDLOW, WA 98365-9634
(360) 643-1801
Mailing address
7701 OAK BAY RD, PORT LUDLOW, WA 98365-9634
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO60218608
WA
Other
Enumeration date
07/17/2019
Last updated
09/17/2019
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