Individual
LISA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1096
Mailing address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1096
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP60185514
WA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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