Individual
MARYLYNNE KOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
IBCLC, CD/PCD(DONA)
Contact information
Practice address
403 N MARKET BLVD UNIT 1, CHEHALIS, WA 98532-2627
(360) 996-4387
Mailing address
PO BOX 212, CHEHALIS, WA 98532-0212
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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