Individual
ALICIA LOUISE DORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(253) 263-0548
Mailing address
8725 S 212TH ST, KENT, WA 98031-1921
(253) 263-0548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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