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Individual

MS. CHRISTINA MARIE HEYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
6325 91ST ST NE, MARYSVILLE, WA 98270-2875
(360) 657-6772
Mailing address
4220 80TH ST NE, MARYSVILLE, WA 98270-3423
(360) 525-7429

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL 60437286
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LL 60437286
WASHINGTON STATE DEPARTMENT OF HEALTH SPEECH-LANGUAGE PATHOLOGIST LICENCE
WA
Enumeration date
03/07/2015
Last updated
03/07/2015
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