Individual
EMILY JEAN SOMMER LIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 292-4354
Mailing address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB60858811
WA
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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