Organization
SEA GLASS PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN MCCRAREN (OWNER)
(847) 987-9944
Entity
Organization
Contact information
Practice address
180 NICKERSON ST STE 206, SEATTLE, WA 98109-1631
(206) 397-4389
Mailing address
180 NICKERSON ST STE 206, SEATTLE, WA 98109-1631
(206) 397-4389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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