Individual
CORRIN ELIZABETH GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
651 STRANDER BLVD STE 105, TUKWILA, WA 98188-2914
(206) 313-8840
Mailing address
36712 31ST AVE S, FEDERAL WAY, WA 98003-9179
(253) 486-3282
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
111524501
WA
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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