Individual
JILL TRACY MCMANIGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 657-6731
Mailing address
22815 LAKEVIEW DR, #G205, MOUNTLAKE TERRACE, WA 98043-2864
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
A0408
OR
2355S0801X
Speech-Language Assistant
Primary
SP60300035
WA
Other
Enumeration date
01/30/2013
Last updated
01/30/2013
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