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Individual

KATHRYN MICHELE HINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1570 WILMINGTON DR #220, DUPONT, WA 98327
(206) 453-4882
Mailing address
451 COSGROVE ST NW, BAINBRIDGE ISLAND, WA 98110-2758
(808) 446-1940

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/09/2019
Last updated
05/14/2019
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