Individual
MRS. MARIANNA MOUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
22443 SE 240TH PL, SUITE B101, MAPLE VALLEY, WA 98038-5898
(425) 358-4885
Mailing address
39237 258TH AVE SE, ENUMCLAW, WA 98022-8867
(817) 721-7350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60306687
WA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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