Individual
MRS. CARLY MADDOX LAWHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Mailing address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60024124
WA
Other
Enumeration date
05/05/2009
Last updated
03/25/2010
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