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1639755242
KATIE A LONG
SILVERDALE, WA
NPI
1639755242
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Former Name
KATIE ANN JOHANSEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2021-03-23
Last Update Date
2021-03-23
Business Address
Mrs. KATIE A LONG
2430 MYHRE STREET, SUITE 101
SILVERDALE, WA 98383
Phone number: 360-328-5054
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Mailing Address
Mrs. KATIE A LONG
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345
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