Individual
MARISSA LIANA MYRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2054 LINDSAY RD, EVERSON, WA 98247-8218
(707) 396-8859
Mailing address
2054 LINDSAY RD, EVERSON, WA 98247-8218
(707) 396-8859
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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