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Individual

ASHLEY CORINNE MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CBT, RBT

Contact information

Practice address
522 W RIVERSIDE AVE STE 4691, SPOKANE, WA 99201-0580
(360) 605-0163
Mailing address
1517 CAPITOL WAY S APT 407, OLYMPIA, WA 98501-2245
(564) 900-7888

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-228882
WA

Other

Enumeration date
12/21/2023
Last updated
12/21/2023
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