Individual
MRS. KELLY ANN MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
10101 19TH AVE SE STE A-2, EVERETT, WA 98208-4255
(425) 315-5409
(877) 425-0986
Mailing address
10521 32ND DR SE, EVERETT, WA 98208-4515
(425) 315-5409
(877) 425-0986
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00001619
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7096548
—
WA
Enumeration date
01/30/2007
Last updated
07/09/2007
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