Individual
LISA GOSSELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
601 S 8TH ST, TACOMA, WA 98405-4614
(253) 571-1000
Mailing address
6501 S 10TH ST, TACOMA, WA 98465-2035
(253) 571-2400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61414687
WA
Other
Enumeration date
10/02/2023
Last updated
10/24/2023
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