Individual
EMILY KATHLEEN COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2430 NW MYHRE RD # 101, SILVERDALE, WA 98383-7669
(360) 328-5054
Mailing address
814 CHESTER AVE, BREMERTON, WA 98337-1325
(541) 420-0624
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LOE647A67580
BLUE CROSS
OR
Enumeration date
07/06/2021
Last updated
07/06/2021
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