Individual
MYRNA G HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 965-0000
(360) 965-0024
Mailing address
18331 52ND AVE W APT 146, LYNNWOOD, WA 98037-4426
(541) 621-5627
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SP60237194
WA
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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