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Individual

GENESIS LATHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
33314 SE 42ND ST, FALL CITY, WA 98024-8747
(425) 831-4000
Mailing address
2323 S HOLGATE ST, SEATTLE, WA 98144-4613

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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