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Individual

AUGUSTINE WILLIAM KIRCHOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13333 NE BEL RED RD STE 100, BELLEVUE, WA 98005-2332
(425) 215-1343
Mailing address
6537 208TH ST SW APT B113, LYNNWOOD, WA 98036-7446
(425) 681-1847

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/04/2024
Last updated
09/04/2024
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