Individual
SARA E LARSEN-COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E LAWRENCE ST, MOUNT VERNON, WA 98273-2914
(360) 428-6141
Mailing address
124 E LAWRENCE ST, MOUNT VERNON, WA 98273-2914
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004761
WA
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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