Individual
LESLIE PENFOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST, STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
23427 SE 243RD PL, MAPLE VALLEY, WA 98038-5268
(206) 910-3410
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
CG60732858
WA
Other
Enumeration date
02/05/2017
Last updated
02/05/2017
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