Individual
ELLIE DIANE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3443 LILLY RD NE, OLYMPIA, WA 98506-3091
(360) 456-2237
Mailing address
519 FIRE WILLOW ST NW, OLYMPIA, WA 98502-8198
(360) 970-4298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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