Individual
IISHA GWYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24 ROY ST, #434, SEATTLE, WA 98109-4018
(206) 384-4142
Mailing address
24 ROY ST, #434, SEATTLE, WA 98109-4018
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60169006
WA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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