Individual
SAMANTHA LARATONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 W SUMMA ST, CENTRALIA, WA 98531-2324
(360) 330-7600
Mailing address
35514 YOUNG DR, CLINTON TWP, MI 48035-2391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
113289
AK
Other
Enumeration date
08/07/2017
Last updated
03/17/2018
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