Individual
KADY ROSE LABARGE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 WILLAMETTE DR NE STE C, LACEY, WA 98516-1378
(360) 970-5724
Mailing address
41121 MAY CREEK RD, GOLD BAR, WA 98251-9429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61358488
WA
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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