Individual
IAN FERGUSON FORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3443 LILLY RD NE, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
2402 TYNDELL CIR SW, TUMWATER, WA 98512-6253
(360) 888-2780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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