Individual
MARIAH CARMEN KANAKIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
900 PACIFIC AVE STE 130, EVERETT, WA 98201-4188
(425) 258-7352
(425) 258-7618
Mailing address
9742 NE 119TH WAY, APT D218, KIRKLAND, WA 98034-8945
(309) 453-7266
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60712301
WA
390200000X
Student in an Organized Health Care Education/Training Program
SI 60597418
WA
Other
Enumeration date
05/03/2016
Last updated
11/28/2016
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