Individual
MR. GARRETT DANIEL MALLICOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CCC-SLP
Contact information
Practice address
MAIN HOSPITAL 1959 NE PACIFIC STREET, SEATTLE, WA 98195-0001
(206) 598-3300
Mailing address
PO BOX 24366, SEATTLE, WA 98124-0366
(816) 377-8900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60707479
WA
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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