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Individual

KAYLA WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1445 NW MALL ST, ISSAQUAH, WA 98027-7900
(206) 380-3009
Mailing address
26041 222ND CT SE, MAPLE VALLEY, WA 98038-7427
(206) 380-3009

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61251720
WA

Other

Enumeration date
01/19/2022
Last updated
01/19/2022
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