Individual
MADISON ELOISE DOFELMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4606 108TH ST SW, LAKEWOOD, WA 98499-4146
(253) 693-2626
Mailing address
4606 108TH ST SW, LAKEWOOD, WA 98499-4146
(253) 693-2626
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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