Individual
MICHAEL WARD LAYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5717 S CHAPERON PEAK CT, SPOKANE, WA 99224-6158
(509) 413-6411
Mailing address
5717 S CHAPERON PEAK CT, SPOKANE, WA 99224-6158
(509) 413-6411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004763
WA
235Z00000X
Speech-Language Pathologist
SLP-2092
ID
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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