Individual
MALLORY PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1031 SW 130TH ST, BURIEN, WA 98146-3132
(206) 242-3213
Mailing address
2516 14TH AVE W APT 301, SEATTLE, WA 98119-2108
(714) 604-6576
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60482892
WA
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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