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Individual

DEMETRA TAFFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1101 W COLLEGE AVE, SPOKANE, WA 99201-2010
(509) 324-1629
Mailing address
27802 N CEDAR RD, DEER PARK, WA 99006-9312
(509) 324-1609

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019627
WA
Enumeration date
05/12/2017
Last updated
05/12/2017
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