Individual
JACQUELINE KLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 75TH ST W STE B100, LAKEWOOD, WA 98499-8109
(253) 345-5702
Mailing address
13315 GREENWOOD AVE N APT 312B, SEATTLE, WA 98133-7338
(915) 249-0795
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB60786465
WA
Other
Enumeration date
01/31/2018
Last updated
12/02/2022
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