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Individual

MARISA BREANNE COUMONT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
319 S CEDAR ST, SPOKANE, WA 99201-7029
(509) 209-7429
Mailing address
21570 E BITTERROOT LN, LIBERTY LAKE, WA 99019-5065

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61022487
WA

Other

Enumeration date
11/26/2019
Last updated
11/05/2023
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