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Ms. Mary Jean Tahlequah, LMP,COMP,CNMT,SI
Specialist in Kent, Washington
NPI 1073679395

Mary Jean Tahlequah is a Specialist based in Kent, WA. Mary Jean Tahlequah practices in Kent, WA and has the professional credentials of LMP,COMP,CNMT,SI. The NPI Number for Mary Jean Tahlequah is 1073679395 and holds a License No. MA00010308 (Washington).

The current practice location address for Mary Jean Tahlequah is 27615 108Th Ave Se, Kent, WA and can be reached out via phone at 253-850-2333 and via fax at 253-850-7164.

Location: 27615 108Th Ave Se, Kent, WA, 98030-8768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073679395
Provider Name
Mary Jean Tahlequah
Credential
LMP,COMP,CNMT,SI
Provider Entity Type
Individual
Gender
Female
Address
27615 108Th Ave Se, Kent, WA, 98030-8768
Phone Number
253-850-2333
Fax Number
253-850-7164
Provider Enumeration Date
12/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA00010308 01 WA MASSAGE LIC #
institution
Provider Business Practice Location Address Details
Address
27615 108Th Ave Se
City
Kent
State
Washington
Zip
98030-8768
Phone Number
253-850-2333
Fax Number
253-850-7164
person
Provider Business Mailing Address Details
Address
27615 108Th Ave Se
City
Kent
State
Washington
Zip
98030-8768
Phone Number
253-850-2333
Fax Number
253-850-7164
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA00010308 (Washington)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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