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Individual

JUSTIN CHARLES MAHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19235 15TH AVE NW, SHORELINE, WA 98177-2725
(206) 546-2666
Mailing address
5118 S OTHELLO ST, SEATTLE, WA 98118-4235
(425) 785-8280

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60586460
WA

Other

Enumeration date
07/06/2015
Last updated
09/12/2024
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