Individual
THERESA WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 SE EVERETT MALL WAY STE 200, EVERETT, WA 98208-3743
(425) 353-5656
Mailing address
906 SE EVERETT MALL WAY STE 200, EVERETT, WA 98208-3743
(425) 353-5656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61315434
WA
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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