Individual
CARRIE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S 333RD ST STE 130, FEDERAL WAY, WA 98003-7357
(253) 766-5156
Mailing address
2618 40TH ST E, TACOMA, WA 98404-5319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/11/2019
Last updated
05/16/2022
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