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1780107276
KELLIE DIANA FOWLER
SEATTLE, WA
NPI
1780107276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA 60780423)
Enumeration Date
2017-07-17
Last Update Date
2017-07-17
Business Address
Miss KELLIE DIANA FOWLER CBT
3214 W MCGRAW ST STE 212
SEATTLE, WA 98199-3239
Phone number: 206-453-4882
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Mailing Address
Miss KELLIE DIANA FOWLER CBT
5437 FAUNTLEROY WAY SW APT N
SEATTLE, WA 98136-1557
Phone number: 914-419-7140
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