Individual
AUDRA MARIE VAN UITERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8725 S 212TH ST, KENT, WA 98031-1921
(301) 642-5658
Mailing address
8725 S 212TH ST, KENT, WA 98031-1921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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