Individual
MRS. MARY KATHRYN COBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
344 CLEVELAND AVE SE STE F, TUMWATER, WA 98501-3342
(360) 350-2220
(855) 814-8815
Mailing address
344 CLEVELAND AVE SE STE F, TUMWATER, WA 98501-3342
(360) 350-2220
(855) 814-8815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
LL 60390353
WA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/26/2010
Last updated
04/29/2024
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