Individual
MS. MARY JO STARCK BRUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SP
Contact information
Practice address
4909 E MERCER WAY, MERCER ISLAND, WA 98040-4737
(206) 484-7723
Mailing address
4909 E MERCER WAY, MERCER ISLAND, WA 98040-4737
(206) 484-7723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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