Individual
MS. MARY ANN VARNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
9001 22ND AVENUE NW, SEATTLE, WA 98117-2712
(206) 789-5132
Mailing address
9001 22ND AVE NW, SEATTLE, WA 98117-2712
(206) 789-5132
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
RE00000284
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE00000284
PROFESSIONAL LICENSE #
WA
Enumeration date
07/20/2006
Last updated
10/08/2008
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