Individual
MARY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
17700 SE 272ND ST, COVINGTON, WA 98042-4951
(253) 372-7030
Mailing address
PO BOX 5299, MS: 737-2-PHYS, TACOMA, WA 98415-0299
(253) 459-7970
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LL00002874
WA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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