MS. Mary Jean Tahlequah, LMP,COMP,CNMT,SI

NPI #1073679395 in Kent, Washington

Provider Information

NPI Number: 1073679395
Entity Type: Individual
Name: MS. Mary Jean Tahlequah, LMP,COMP,CNMT,SI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMP,COMP,CNMT,SI
Enumeration Date: Dec 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 27615 108TH AVE SE
City: Kent
State: Washington
ZIP Code: 98030-8768
Phone: (253) 850-2333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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