Individual
HASET LIDETU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14524 MAIN ST NE STE 111, DUVALL, WA 98019-8467
(425) 505-1320
Mailing address
6634 BROADWAY, EVERETT, WA 98203-4841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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