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1194104620
MALLORY PUENTES
BURIEN, WA
NPI
1194104620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WA LL 60482892)
Enumeration Date
2015-05-29
Last Update Date
2015-05-29
Business Address
-- MALLORY PUENTES MS, CCC-SLP
1031 SW 130TH ST
BURIEN, WA 98146-3132
Phone number: 206-242-3213
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Mailing Address
-- MALLORY PUENTES MS, CCC-SLP
2516 14TH AVE W APT 301
SEATTLE, WA 98119-2108
Phone number: 714-604-6576
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