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Individual
MARY OSBORN
Active
Individual
MARY OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60535237
WA
106S00000X
Behavior Technician
Primary
RBT-15-00352
WA
Other
Enumeration date
08/14/2015
Last updated
09/06/2017
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