Individual
MISS AISLYNN OLIVIA CONGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 S DIVISION ST STE A, MOSES LAKE, WA 98837-3800
(509) 764-6644
Mailing address
615 S DIVISION ST STE A, MOSES LAKE, WA 98837-3800
(509) 764-6644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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