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Individual

JENNIFER L MARSHALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
116 W. THIRD STREET, MEDICAL LAKE, WA 99022-0128
(509) 565-3100
Mailing address
PO BOX 128, MEDICAL LAKE, WA 99022-0128
(509) 565-3100

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12121702
WA

Other

Enumeration date
05/23/2013
Last updated
05/23/2013
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