Individual
MARA ANN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC
Contact information
Practice address
1010 S 336TH ST, SUITE 210, FEDERAL WAY, WA 98003-6385
(866) 835-7102
(888) 835-7102
Mailing address
2432 235TH AVE NE, SAMMAMISH, WA 98074-4458
(425) 868-3626
(425) 868-1519
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003105
WA
Other
Enumeration date
10/27/2012
Last updated
10/27/2012
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