Individual
MRS. HAYLEE JEWEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E MOUNTAIN VIEW AVE STE 4, ELLENSBURG, WA 98926-3795
(509) 852-4020
Mailing address
401 E MOUNTAIN VIEW AVE STE 4, ELLENSBURG, WA 98926-3795
(509) 852-4020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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