Individual
ELIZABETH MERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21830 37TH DR SE, BOTHELL, WA 98021-7082
(206) 859-9745
Mailing address
21830 37TH DR SE, BOTHELL, WA 98021-7082
(206) 859-9745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
60791717
WA
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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