Individual
MARIA ROBERTA THAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 74TH ST NE, TULALIP, WA 98271-9124
(360) 965-3100
Mailing address
5611 105TH PL NE, MARYSVILLE, WA 98270-6638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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