Individual
CARLY LINNAE LUNSTRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
3680 S CEDAR ST STE A, TACOMA, WA 98409-5728
(206) 313-8840
Mailing address
415 PRINCETON ST, FIRCREST, WA 98466-7116
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61291314
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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