Individual
CHRISTOPHER KANTOLA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 N 35TH ST, TACOMA, WA 98407-6033
(206) 580-6940
Mailing address
6338 51ST AVE S, SEATTLE, WA 98118-2861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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