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Individual

KARSON HUMISTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
631 STRANDER BLVD STE F, TUKWILA, WA 98188-2963
(206) 313-8840
Mailing address
14101 SE 259TH PL, KENT, WA 98042-3613
(253) 397-6003

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/11/2023
Last updated
09/27/2023
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