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Individual

ALEXANDER MITCHELL BUTAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1570 WILMINGTON DR STE 220, DUPONT, WA 98327-8773
(206) 453-4882
Mailing address
1329 N SKYLINE DR, TACOMA, WA 98406-1825
(253) 549-6269

Taxonomy

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

Other

Enumeration date
11/10/2020
Last updated
11/10/2020
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