Individual
GRACE LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
1921 NE 84TH ST, VANCOUVER, WA 98665-9800
(208) 901-9096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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