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1184131773
CARISSA POWELL
TACOMA, WA
NPI
1184131773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2018-01-04
Last Update Date
2018-01-04
Business Address
CARISSA POWELL
212 N G ST
TACOMA, WA 98403-3414
Phone number: 253-341-0763
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Mailing Address
CARISSA POWELL
212 N G ST APT 10
TACOMA, WA 98403-3414
Phone number:
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