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Individual

KATHRYN MARIE NANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868
Mailing address
2310 130TH AVE NE STE 100, BELLEVUE, WA 98005-1757
(425) 882-8868

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60931010
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033525084
SUM OF LEARNING
WA
Enumeration date
02/11/2019
Last updated
02/11/2019
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