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Individual

MR. NORMAN BEAR LETEMPT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
405 NW BENTON AVE, WINLOCK, WA 98596-9470
(360) 785-3516
Mailing address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/15/2022
Last updated
06/15/2022
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