Individual
MARILYN JILL DANIEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
525 77TH AVE NE, OLYMPIA, WA 98506-9776
(360) 867-9137
Mailing address
525 77TH AVE NE, OLYMPIA, WA 98506-9776
(360) 867-9137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002086
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7085368
—
WA
Enumeration date
11/21/2005
Last updated
07/09/2007
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