Individual
KAYLE JULIETTE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 NW MALL ST STE 2, ISSAQUAH, WA 98027-7900
(425) 229-2779
Mailing address
22943 SE 287TH ST, MAPLE VALLEY, WA 98038-3319
(425) 941-4167
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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