Individual
MADISON MARIE FARNSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1301 4TH AVE NW STE 100, ISSAQUAH, WA 98027-9371
(425) 392-7989
Mailing address
1301 4TH AVE NW STE 100, ISSAQUAH, WA 98027-9371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61323361
WA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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