Individual
WILFORD ANTONIO LE BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
8601 E B ST, TACOMA, WA 98445-2227
(253) 571-6271
Mailing address
601 S 8TH ST, TACOMA, WA 98405-4614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60483342
WA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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