Individual
CORINNE BETH LA FORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2502 E 4TH PLAIN BLVD, VANCOUVER, WA 98661-3965
(360) 773-4442
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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