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Individual

LORRAINE TRACY SAVAGE-TIBBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
1501 PARKER WAY, SUITE 105, MOUNT VERNON, WA 98273-2599
(360) 424-9645
(360) 428-3915
Mailing address
1501 PARKER WAY, SUITE 105, MOUNT VERNON, WA 98273-2599
(360) 424-9645
(360) 428-3915

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 00004209
WA

Other

Enumeration date
04/27/2011
Last updated
04/27/2011
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