Individual
LAUREN CORBETT MAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
480 MONTGOMERY LANE, PORT LUDLOW, WA 98365-8052
(360) 900-6100
Mailing address
480 MONTGOMERY LANE, PORT LUDLOW, WA 98365-8052
(360) 900-6100
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13-17-13719
CA
Other
Enumeration date
07/09/2015
Last updated
05/04/2017
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