Individual
MARY MB SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9007 W METALINE AVE, KENNEWICK, WA 99336-1490
(509) 737-0487
Mailing address
9007 W METALINE AVE, KENNEWICK, WA 99336-1490
(509) 737-0487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003264
WA
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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