Individual
CARLYANN M REINMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404A 120TH ST S, TACOMA, WA 98444-5214
(360) 952-9239
Mailing address
4609 NE 46TH ST, VANCOUVER, WA 98661-2868
(360) 952-9239
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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