Individual
HEATHER WOOTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050
(360) 528-2590
Mailing address
8024 N BICENTENNIAL LOOP SE APT 1, LACEY, WA 98503-1785
(360) 827-2993
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2019
Last updated
10/26/2019
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