Individual
PAULINE INEM WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ONE WORLD TRADE CENTER, 121 SOUTHWEST SALMON STREET,, 11TH FLOOR, PORTLAND, OR 97204-0000
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10231757
OR
Other
Enumeration date
04/19/2023
Last updated
04/23/2025
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