Individual
EMMA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23175 224TH PL SE STE A, MAPLE VALLEY, WA 98038-8230
(425) 399-3245
Mailing address
28636 226TH AVE SE, MAPLE VALLEY, WA 98038-3337
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61117930
WA
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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