Individual
ELIZABETH GRACE DONALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
251 NE MANTEL LN, BELFAIR, WA 98528-7742
(360) 286-7595
Mailing address
251 NE MANTEL LN, BELFAIR, WA 98528-7742
(360) 286-7595
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60986892
WA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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