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1770247512
CHARISSA ANGELIQUE WONG
LAKEWOOD, WA
NPI
1770247512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA CB1167409)
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
CHARISSA ANGELIQUE WONG
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499-4595
Phone number: 253-682-0320
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Mailing Address
CHARISSA ANGELIQUE WONG
8811 S TACOMA WAY STE 204&206
LAKEWOOD, WA 98499-4595
Phone number:
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