Organization
THRIVE ONLINE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONGOLI YANG MOUA (OWNER)
(360) 797-5313
Entity
Organization
Contact information
Practice address
12305 NE 102ND ST, VANCOUVER, WA 98682-1990
(503) 475-2763
Mailing address
12305 NE 102ND ST, VANCOUVER, WA 98682-1990
(503) 475-2763
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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