Individual
LISA MARIE DAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
Mailing address
6220 S ALASKA ST, TACOMA, WA 98408-1317
(253) 476-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00003372
WA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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