Individual
JOSEPH OWEN YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(425) 658-3016
Mailing address
8725 S 212TH ST, KENT, WA 98031-1921
(253) 584-2170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61333100
WA
Other
Enumeration date
08/19/2014
Last updated
08/23/2024
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