Individual
CONCEPTIA M AUGUSTIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6210 75TH ST W STE B100, LAKEWOOD, WA 98499-8109
(253) 345-5720
Mailing address
8217 LUZADER LN SW, LAKEWOOD, WA 98499-2052
(253) 318-5448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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