Individual
KATHERINE SKIPWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE STE A, LACEY, WA 98516-1378
(360) 878-6434
(844) 452-1758
Mailing address
5281 SE LYNCH RD, SHELTON, WA 98584-7298
(541) 368-8448
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61214356
WA
Other
Enumeration date
07/20/2021
Last updated
12/12/2024
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