Individual
CARLY JEANETTE BERSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7808 PACIFIC AVE STE 9, TACOMA, WA 98408-7039
(360) 240-0022
Mailing address
18348 BRITCHEN ST SE, YELM, WA 98597-8964
(253) 337-1046
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/17/2021
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