Individual
BETHANY L LOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 S 2ND AVE, WALLA WALLA, WA 99362-3001
(800) 781-5536
Mailing address
106 S 2ND AVE, WALLA WALLA, WA 99362-3001
(800) 781-5536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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