Individual
MS. TARA MIRANDA LARKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1660 S COLUMBIAN WAY, SPEECH PATHOLOGY 2D-189, SEATTLE, WA 98108-1532
(206) 764-2774
Mailing address
1660 S COLUMBIAN WAY, SPEECH PATHOLOGY 2D-189, SEATTLE, WA 98108-1532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60306420
WA
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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