Individual
MR. KARSON RAY SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
707 W 7TH AVE STE 200, SPOKANE, WA 99204-2833
(509) 850-1080
(509) 461-2532
Mailing address
PO BOX 11, KETTLE FALLS, WA 99141-0011
(509) 690-0673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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