Individual
LORENNA MAYLEE HAMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 COOPER POINT RD SW STE 5, OLYMPIA, WA 98502-7206
(360) 464-9052
Mailing address
PO BOX 124, TOLEDO, WA 98591-0124
(310) 465-9722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CB61219826
WA
106S00000X
Behavior Technician
BACB468060
WA
Other
Enumeration date
02/28/2023
Last updated
06/10/2024
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