Individual
CHARVE L DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 NE 72ND AVE APT K67, VANCOUVER, WA 98661-8170
(360) 773-3387
Mailing address
3650 MT DIABLO BLVD STE 107, LAFAYETTE, CA 94549-3780
(510) 665-9010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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