Individual
EMELIA M MONAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 232ND AVE SE, ISSAQUAH, WA 98029-6220
(425) 301-6470
Mailing address
18806 SE 42ND ST, ISSAQUAH, WA 98027-9366
(425) 301-6470
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61062454
WA
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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