Individual
KENDRA JAE WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(360) 930-6063
Mailing address
53 N POINT DR, BELLINGHAM, WA 98229-7930
(360) 421-2112
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
PENDING
WA
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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