Individual
JESSICA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 LILLY RD NE STE B, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
701 S I ST, TACOMA, WA 98405-4539
(253) 549-8196
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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