Individual
CALVIN EUGENE KENNON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1305 TACOMA AVE S STE 305, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
10914 PORTLAND AVE E APT B307, TACOMA, WA 98445-5258
(253) 468-3559
(253) 651-5053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG 60501860
WA
Other
Enumeration date
03/09/2016
Last updated
03/09/2016
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