Individual
SARINA MARIE CORPUZ
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
415 PEREGRINE DR, OLYMPIA, WA 98513
(360) 359-8986
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB421878
WA
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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