Individual
MACKENZIE WANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 WHITMAN AVE N, 41, SEATTLE, WA 98103-7848
(919) 621-9292
Mailing address
3921 WHITMAN AVE N, APT. #41, SEATTLE, WA 98103-7848
(919) 621-9292
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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