Individual
HAILEY CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8811 S TACOMA WAY STE 204&206, LAKEWOOD, WA 98499-4595
(425) 217-1140
Mailing address
10621 247TH ST E, GRAHAM, WA 98338-6773
(253) 433-5912
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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