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1114090743
LYNN T PETERSON
TACOMA, WA
NPI
1114090743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL00002747)
Enumeration Date
2006-11-15
Last Update Date
2007-07-09
Business Address
-- LYNN T PETERSON CCC-SLP
1310 S UNION AVE STE A100
TACOMA, WA 98405-1907
Phone number: 253-383-2423
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Mailing Address
-- LYNN T PETERSON CCC-SLP
3312 N 19TH ST
TACOMA, WA 98406-6007
Phone number:
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