Individual
DOWDY GILLES-STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 158TH ST SE, BOTHELL, WA 98012-1204
(360) 672-2839
Mailing address
331 158TH ST SE, BOTHELL, WA 98012-1204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61150597
WA
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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