Individual
SOPHIA LARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 SW 7TH ST, RENTON, WA 98057-5215
(206) 285-9140
Mailing address
1119 SW 7TH ST, RENTON, WA 98057-5215
(206) 285-9140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL61584387
WA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/26/2023
Last updated
11/13/2024
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