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Individual

BRAELYNNE NOELLE ANN CHASE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
950 BROADWAY STE 301, TACOMA, WA 98402-4454
(253) 671-9909
Mailing address
133 S 330TH ST APT D, FEDERAL WAY, WA 98003-7386
(253) 301-8992

Taxonomy

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

Other

Enumeration date
08/21/2024
Last updated
08/21/2024
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