Organization
MARYSVILLE SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY SUCHAN TOOTHAKER MA ED AND ADMINISTRA (DIRECTOR OF SPECIAL ED SVCS)
(360) 653-0825
Entity
Organization
Contact information
Practice address
4220 80TH STREET NE, MARYSVILLE SCHOOL DISTRICT, MARYSVILLE, WA 98270
(360) 653-7058
(360) 657-6824
Mailing address
4220 80TH STREET NE, MARYSVILLE SCHOOL DISTRICT, MARYSVILLE, WA 98270
(360) 653-7058
(360) 657-6824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
350661E
WA
235Z00000X
Speech-Language Pathologist
LL60432328
WA
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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