Individual
MARYANN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 653-7058
Mailing address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 653-7058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60432328
WA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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