Individual
BARBARA MANGUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1512 SW 320TH CT, FEDERAL WAY, WA 98023-5427
(415) 989-5000
Mailing address
1512 SW 320TH CT, FEDERAL WAY, WA 98023-5427
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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