Individual
OLIVIA GROTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1871 NW GILMAN BLVD STE 2, ISSAQUAH, WA 98027-8116
(425) 657-0620
Mailing address
1871 NW GILMAN BLVD STE 2, ISSAQUAH, WA 98027-8116
(425) 657-0620
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60542643
WA
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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