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Individual

MRS. ASIA THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1380 112TH AVE NE, BELLEVUE, WA 98004-3759
(425) 754-5135
Mailing address
18516 20TH DR SE, BOTHELL, WA 98012-6986

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60882470
WA

Other

Enumeration date
10/19/2023
Last updated
10/19/2023
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