Individual
MARY M. MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.T.
Contact information
Practice address
10516 SILVERDALE WAY NW STE 110D, SILVERDALE, WA 98383-8745
(360) 307-7556
(360) 698-7488
Mailing address
2321 NW SCHOLD PL, SILVERDALE, WA 98383-9504
(360) 337-7422
(360) 698-7488
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0176424
L&I
WA
Enumeration date
01/11/2007
Last updated
04/15/2021
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