Individual
MR. KENNETH LEE MARKLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
Mailing address
12009 91ST AVENUE CT E, PUYALLUP, WA 98373-7905
(253) 495-0505
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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