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Individual

MRS. MARI M BRAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD., CCC-A

Contact information

Practice address
4800 SAND POINT WAY NE, M/S CB, SEATTLE, WA 98105-3901
(206) 987-2644
(425) 451-0214
Mailing address
13420 34TH AVE SE, MILL CREEK, WA 98012-4625
(206) 987-2644
(425) 451-0214

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00004126
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8441883
WA
Enumeration date
08/30/2006
Last updated
07/08/2007
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