Individual
SCOTT MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 COLLEGE ST NE, LACEY, WA 98516-5390
(360) 412-4400
Mailing address
742 ALMA LN SE, OLYMPIA, WA 98513-6807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60972329
WA
Other
Enumeration date
06/21/2019
Last updated
05/12/2020
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