Individual
DEMARCUS GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Mailing address
1819 E SPRINGFIELD AVE, SPOKANE, WA 99202-2954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG61128433
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/29/2019
Last updated
12/03/2020
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