Individual
MRS. LEA CAROLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS. CCC-SLP
Contact information
Practice address
632 195TH ST SE, BOTHELL, WA 98012-7099
(916) 849-1511
Mailing address
632 195TH ST SE, BOTHELL, WA 98012-7099
(916) 849-1511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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