Individual
ADDIE COLLIERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5436 232ND AVE SE, ISSAQUAH, WA 98029-6220
(206) 380-3009
Mailing address
15850 118TH AVE SE, RENTON, WA 98058-4662
(425) 444-6319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG.60537526
WA
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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