Individual
COURTNEY ROSELIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 N 35TH ST, TACOMA, WA 98407-6033
(253) 312-8909
Mailing address
3704 N 35TH ST, TACOMA, WA 98407-6033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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