Individual
MISTY MARIE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
920 S 2ND ST, MOUNT VERNON, WA 98273-4205
(360) 428-6141
Mailing address
2424 ELLIS ST, BELLINGHAM, WA 98225-3827
(360) 483-8614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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