Individual
MRS. DENISE CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(260) 933-7060
Mailing address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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