Individual
LIZETT MACLAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Mailing address
921 14TH AVE, LONGVIEW, WA 98632-2316
(360) 423-0203
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/20/2010
Last updated
10/01/2012
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