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Individual
MR. KENOUS DEONTRAIZE CARRINGTON
Active
Individual
MR. KENOUS DEONTRAIZE CARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASSOCIATES
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG61185759
WA
Other
Enumeration date
05/28/2021
Last updated
06/02/2021
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