Individual
MARAE B HOLLEY-FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7808 PACIFIC AVE, TACOMA, WA 98408-7039
(866) 240-0808
Mailing address
905 WEBB ST SE APT 9, LACEY, WA 98503-1262
(360) 643-3116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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