Individual
ASHLEY CAROLINNE GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 S 333RD ST STE 130, FEDERAL WAY, WA 98003-7357
(000) 000-0000
Mailing address
29418 218TH PL SE, BLACK DIAMOND, WA 98010-1268
(253) 886-0203
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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