Individual
GERRY KEEGAN CONRADIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
2805 H ST APT 7, VANCOUVER, WA 98663-3082
(503) 282-4459
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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