Carli Van Leishout
NPI #1497425748 in Enumclaw, Washington
Provider Information
- NPI Number
- 1497425748
- Entity Type
- Individual
- Name
- Carli Van Leishout
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Enumeration Date
- Sep 17, 2021
- Last Updated
- Sep 17, 2021
Practice Location
- Address
- 2929 MCDOUGALL AVE
- City
- Enumclaw
- State
- Washington
- ZIP Code
- 98022-7410
- Phone
- (360) 802-7104
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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