Individual
MS. LAURA SUSAN CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
402 91ST AVE NE, EVERETT, WA 98205-1530
(425) 334-4071
Mailing address
820 MADISON ST, EVERETT, WA 98203-4545
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001180
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8373276
—
WA
Enumeration date
02/17/2007
Last updated
07/08/2007
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