Individual
CHRISA DIANE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 956-9570
Mailing address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 956-9570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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