Individual
VIVIENNE WESTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1518 16TH AVE E, SEATTLE, WA 98112-2807
(206) 330-1843
Mailing address
1518 16TH AVE E, SEATTLE, WA 98112-2807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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