Individual
JESSICA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10117 E 14TH AVE, SPOKANE VALLEY, WA 99206-3408
(208) 610-7673
Mailing address
10117 E 14TH AVE, SPOKANE VALLEY, WA 99206-3408
(208) 610-7673
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61335621
WA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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