Individual
LISA MARIE MUNDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6814 241ST AVE E, BUCKLEY, WA 98321-9497
(253) 205-4623
Mailing address
6814 241ST AVE E, BUCKLEY, WA 98321-9497
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
03/11/2024
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