Individual
SAGE RONIN D'CARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 730-2506
Mailing address
2100 24TH AVE S, SEATTLE, WA 98144-4637
(206) 730-2506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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