Individual
MISS KATIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, BUILDINGS 1, EVERETT, WA 98203-2132
(425) 349-8480
Mailing address
9 W MARILYN AVE, EVERETT, WA 98204-2729
(425) 446-0106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ROGERKG071LQ
WA
247200000X
Other Technician
ROGERKG071LQ
WA
Other
Enumeration date
11/29/2016
Last updated
11/30/2016
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