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Individual

BRYAN FORSLOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.A.

Contact information

Practice address
109 E ILLINOIS ST, BELLINGHAM, WA 98225-2513
(360) 647-7574
Mailing address
109 E ILLINOIS ST, BELLINGHAM, WA 98225-2513
(360) 647-7574

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WA

Other

Enumeration date
12/06/2016
Last updated
12/06/2016
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