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Individual

MISS JULIA LYNN GROUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1616 CORNWALL AVE, BELLINGHAM, WA 98225-4648
(360) 305-3275
Mailing address
9135 E PRESSENTIN DR, CONCRETE, WA 98237-8819
(206) 999-0989

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CG 60693576
WA

Other

Enumeration date
09/30/2016
Last updated
09/30/2016
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