Individual
MARIEL MACAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(609) 430-7803
Mailing address
1344 W STATE RD, PLEASANT GROVE, UT 84062-5022
(801) 785-8870
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC60830319
WA
172V00000X
Community Health Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
CO60855176
WA
Other
Enumeration date
05/04/2011
Last updated
11/29/2018
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