Individual
CAROLYN MARGARET GROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
4616 25TH AVE NE, SEATTLE, WA 98105-4183
(713) 824-4450
Mailing address
4616 25TH AVE NE, PMB 437, SEATTLE, WA 98105
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
60775894
WA
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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