Individual
ANDREA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-6644
(509) 764-6644
Mailing address
PO BOX 1309, CONNELL, WA 99326-1309
(509) 643-0370
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2017
Last updated
10/20/2017
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