Individual
DAJAE RENEE KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1901 S UNION AVE STE 6007, TACOMA, WA 98405-1702
(253) 352-4707
Mailing address
9933 98TH ST SW, LAKEWOOD, WA 98498-3159
(253) 961-6439
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61507246
WA
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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