Individual
HANNAH ELIZABETH MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3616 118TH STREET CT NW, GIG HARBOR, WA 98332-6867
(603) 692-8173
Mailing address
215 N TACOMA AVE # A106, TACOMA, WA 98403-2633
(253) 961-1569
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60783261
WA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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