Individual
CHAMANDEEP K DHALIWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19706 77TH PL NE, KENMORE, WA 98028-2161
(425) 622-6772
Mailing address
19706 77TH PL NE, KENMORE, WA 98028-2161
(425) 622-6772
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61368587
WA
Other
Enumeration date
04/20/2018
Last updated
06/21/2024
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