Individual
MRS. MACKENZIE M MCCOLLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, M.S.
Contact information
Practice address
2510 N PINES RD STE 3, SPOKANE VALLEY, WA 99206-7636
(509) 315-5711
Mailing address
22512 E HEROY AVE, OTIS ORCHARDS, WA 99027-9316
(509) 954-5876
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI 60402274
WA
Other
Enumeration date
08/02/2013
Last updated
06/12/2018
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