Individual
JUSTICE MERRY LYNN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 S ALDER ST, MOSES LAKE, WA 98837-1760
(509) 764-6644
Mailing address
804 S BARBARA AVE, MOSES LAKE, WA 98837-2719
(509) 793-6737
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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