Individual
ANNIE MORTENSEN JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 STILSON AVE SE, NORTH BEND, WA 98045-9559
(801) 228-8535
Mailing address
14607 442ND AVE SE, NORTH BEND, WA 98045-8611
(801) 228-8535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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