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Individual

MRS. CAROLINA M CHARLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(929) 392-7463
Mailing address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(929) 392-7463

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WA

Other

Enumeration date
03/09/2023
Last updated
03/09/2023
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