Individual
PAYTON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(360) 489-6485
Mailing address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61410098
WA
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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