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Individual

MS. ANIKA MARIE CROSTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6505 218TH ST SW STE 12, MOUNTLAKE TERRACE, WA 98043-2135
(206) 388-0544
Mailing address
11810 1ST PL NE, LAKE STEVENS, WA 98258-8676
(360) 908-8757

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/05/2020
Last updated
02/05/2020
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