Individual
JAYMIE MICHELLE MARLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CB61368481
Contact information
Practice address
4301 S PINE ST STE 505, TACOMA, WA 98409-7208
(253) 671-9909
Mailing address
5870 BRASCH RD SE, PORT ORCHARD, WA 98367-1119
(737) 242-6662
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61368481
WA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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