Individual
TARRA BENHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 TALCOTT ST, SEDRO WOOLLEY, WA 98284-1729
(360) 855-3738
Mailing address
29377 BACUS RD, SEDRO WOOLLEY, WA 98284-8676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
60594553
WA
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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