Individual
MICHELLE PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4616 25TH AVE NE, SEATTLE, WA 98105-4183
(206) 830-0299
Mailing address
4616 25TH AVE NE, SEATTLE, WA 98105-4183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50957
WA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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