Individual
ELIZABETH JOY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
206 N KNUDSON ST, LIBERTY LAKE, WA 99019-7568
(360) 688-6458
Mailing address
2508 W OKANOGAN AVE, POST FALLS, ID 83854-8572
(360) 688-6458
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.61649710
WA
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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