Individual
JORDAN GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
JOSEPHINUM 1902 2ND AVE, C/O CREW, SEATTLE, WA 98101
(206) 956-9570
Mailing address
JOSEPHINUM 1902 2ND AVE, C/O CREW, SEATTLE, WA 98101
(206) 956-9570
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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