Individual
ASA OLIVER GOLDSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1743 SUMMIT AVE APT 401, SEATTLE, WA 98122-2163
(847) 772-0032
Mailing address
1743 SUMMIT AVE APT 401, SEATTLE, WA 98122-2163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
WA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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