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Individual

MRS. MACKENZIE JOLENE SMALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
11703 E SPRAGUE AVE # CTE-3, SPOKANE VALLEY, WA 99206-6128
(509) 435-0481
Mailing address
1218 N MARCUS RD, SPOKANE VALLEY, WA 99216-1931
(509) 832-1666

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SI61435274
WA

Other

Enumeration date
04/19/2024
Last updated
04/19/2024
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