Mackenzie Wann

NPI #1104247493 in Seattle, Washington

Provider Information

NPI Number: 1104247493
Entity Type: Individual
Name: Mackenzie Wann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Jan 3, 2014
Last Updated: Jan 3, 2014

Practice Location

Address: 3921 WHITMAN AVE N
Address 2: 41
City: Seattle
State: Washington
ZIP Code: 98103-7848
Phone: (919) 621-9292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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