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Organization
MAGNOLIA BEHAVIOR THERAPY
Active
Organization
MAGNOLIA BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCCULLOUGH CAMPBELL (OFFICE MANAGER)
(206) 453-4882
Entity
Organization
Contact information
Practice address
3214 W MCGRAW ST STE 306, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
3214 W MCGRAW ST STE 306, SEATTLE, WA 98199-3239
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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