Individual
ELLIE MADISON DURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19217 36TH AVE W STE 210, LYNNWOOD, WA 98036-5751
(657) 444-9002
Mailing address
19217 36TH AVE W STE 210, LYNNWOOD, WA 98036-5751
(657) 444-9002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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