Individual
MICHELLE MORDAUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16020 SE 2ND ST, BELLEVUE, WA 98008-4606
(425) 649-9533
Mailing address
16020 SE 2ND ST, BELLEVUE, WA 98008-4606
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003036
WA
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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