Individual
ALICIA ANN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8282 28TH CT NE, LACEY, WA 98516-7162
(253) 964-0367
Mailing address
2215 WALLACE LOOP, DUPONT, WA 98327-8789
(253) 964-0367
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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