Individual
COREEN MELANIE TARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 COOPER POINT RD SW STE 5, OLYMPIA, WA 98502-7206
(360) 464-9052
Mailing address
5226 CHICAGO AVE SW APT 9, LAKEWOOD, WA 98499-3314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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