Individual
INGRID THORSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS., NCSP
Contact information
Practice address
514 4TH ST, SULTAN, WA 98294-9474
(360) 793-9800
Mailing address
514 4TH ST, SULTAN, WA 98294-9474
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
590245G
WA
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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