Individual
MRS. ALICIA ANN JUSTICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1344
(509) 453-2981
Mailing address
918 E MEAD AVE, YAKIMA, WA 98903-3720
(509) 453-1344
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
03/22/2021
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