Individual
ANDREA GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8815 S. TACOMA WAY, SUITE 122, LAKEWOOD, WA 98499
(253) 682-0320
(253) 582-2901
Mailing address
8811 S TACOMA WAY STE 204, LAKEWOOD, WA 98499-4595
(253) 682-0320
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2017
Last updated
10/27/2020
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