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Individual

AMIYA ROSE WICKLANDER-HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1570 WILMINGTON DR STE 220, DUPONT, WA 98327-8773
(206) 453-4882
Mailing address
5502 GROVE ST, MARYSVILLE, WA 98270-3939
(425) 321-7390

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
WA

Other

Enumeration date
09/17/2024
Last updated
09/17/2024
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