Individual
LISA SUSAN PRAZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1820 COOKS HILL RD, CENTRALIA, WA 98531
(360) 330-8720
(360) 330-8737
Mailing address
914 S. SCHEUBER RD, REHAB THERAPIES, CENTRALIA, WA 98531
(360) 330-8720
(360) 330-8737
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60280882
WA
Other
Enumeration date
01/02/2013
Last updated
01/02/2013
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