Individual
MARY KATHERINE LONGENECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31065 9TH AVE S, FEDERAL WAY, WA 98003-4770
(253) 217-1289
Mailing address
31065 9TH AVE S, FEDERAL WAY, WA 98003-4770
(253) 217-1289
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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