Individual
KAITLYN TIARA WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 NW BUCKLIN HILL RD STE 224, SILVERDALE, WA 98383-8365
(360) 536-3060
Mailing address
3100 NW BUCKLIN HILL RD STE 224, SILVERDALE, WA 98383-8365
(360) 536-3060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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