Individual
MADISON GRODE DORITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
8640 36TH AVE SW UNIT B, SEATTLE, WA 98126-3610
(801) 824-0924
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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