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Individual

ISABELLE E KOONTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
10112 NE NOTCHLOG DR APT 204, VANCOUVER, WA 98685-5461
(360) 541-0411

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
02/24/2025
Last updated
02/24/2025
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