Individual
MARIANN E WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6016 6TH AVE NW, SEATTLE, WA 98107-2126
(206) 328-2842
Mailing address
6016 6TH AVE NW, SEATTLE, WA 98107-2126
(206) 328-2842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00006672
WA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
About Stedi
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