Individual
THERESA LARSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
16030 BOTHELL EVERETT HWY STE 140, MILL CREEK, WA 98012-1273
(425) 338-9005
(425) 337-0931
Mailing address
16030 BOTHELL EVERETT HWY STE 140, MILL CREEK, WA 98012-1273
(425) 338-9005
(425) 337-0931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60200889
WA
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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