Individual
MS. LAURA SHEREE BRUNT MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1201 N 175TH ST, SHORELINE, WA 98133-5064
(206) 401-3175
(206) 401-3201
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00003806
WA
Other
Enumeration date
11/21/2006
Last updated
01/30/2019
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