Individual
LARISSA WHITEFEATHER MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Mailing address
111 N TWANA CT, SKOKOMISH NATION, WA 98584-9768
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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