Individual
KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
947 E 35TH AVE, SPOKANE, WA 99203-3163
(509) 995-3388
Mailing address
2 CIRCLE DR, FAIRCHILD AIR FORCE BASE, WA 99011
(757) 354-5466
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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