Individual
CHRISTIE MARIE BLAISDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
1605 WOODRIDGE DR SE, PORT ORCHARD, WA 98366-3818
(360) 443-2399
Mailing address
6920 SE KING RD, PORT ORCHARD, WA 98367-9715
(360) 731-3524
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61214154
WA
Other
Enumeration date
04/15/2024
Last updated
04/16/2024
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