Individual
ELLIE WICKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 IRON ST, BELLINGHAM, WA 98225-4123
(425) 530-8594
Mailing address
3307 CEDAR ST, EVERETT, WA 98201-4517
(425) 530-8594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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