Individual
MARY TEMPLEMAN-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPA
Contact information
Practice address
14 E CASINO RD STE A, EVERETT, WA 98208-2628
(425) 512-1093
Mailing address
19090 162ND AVE NE, WOODINVILLE, WA 98072-6402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60600525
WA
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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