Individual
JORDYN RAEANN THRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S 2ND AVE, WALLA WALLA, WA 99362-3001
(509) 956-1105
Mailing address
1501 W ROSE ST APT 21, WALLA WALLA, WA 99362-1672
(509) 956-1105
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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