Individual
MRS. LACI RACHELLE PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH CT NE, SUITE A, LACEY, WA 98516-7162
(360) 915-6868
Mailing address
129 TOP LN, CHEHALIS, WA 98532-9728
(360) 748-3553
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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