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1154009124
SAMANTHA IVERSON
TACOMA, WA
NPI
1154009124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB61219832)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
SAMANTHA IVERSON
3704 N 35TH ST
TACOMA, WA 98407-6033
Phone number: 206-580-6940
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Mailing Address
SAMANTHA IVERSON
1957 23RD PL NE APT 303
ISSAQUAH, WA 98029-7806
Phone number: 425-260-8236
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