Individual
CORIANNE RAYCHAEL LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
112 N 14TH ST, SELAH, WA 98942-1713
(509) 834-5777
Mailing address
112 N 14TH ST, SELAH, WA 98942-1713
(509) 834-5777
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
WA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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