Individual
CLINT RANDALL DILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 W GRANDRIDGE BLVD STE 102, KENNEWICK, WA 99336-7831
(509) 233-4779
Mailing address
7401 W GRANDRIDGE BLVD STE 102, KENNEWICK, WA 99336-7831
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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