Individual
ELIZABETH PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
Mailing address
2702 N PUGET SOUND AVE, TACOMA, WA 98407-5800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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