Individual
HEATHER MAILLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
(425) 673-6911
Mailing address
20818 44TH AVE W STE 270, LYNNWOOD, WA 98036-7709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60935593
WA
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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