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Individual

JORDIS DONALDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
Mailing address
513 JEFFERSON AVE NW APT K, YELM, WA 98597-7516

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.70161111
WA

Other

Enumeration date
08/04/2026
Last updated
08/04/2026
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