Individual
SHANNON MARICIELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ANDOVER PARK E, TUKWILA, WA 98188-2909
(206) 854-4693
Mailing address
6570 NE HONEYSUCKLE LN, BAINBRIDGE ISLAND, WA 98110-1272
(206) 296-5330
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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