Individual
COURTNEY GRAVUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8811 S TACOMA WAY STE 204&206, TACOMA, WA 98499-4595
(425) 217-1140
Mailing address
1813 NW FOREST CREEK DR, SILVERDALE, WA 98383-9508
(920) 379-5870
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2022
Last updated
04/13/2022
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