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1811573835
SOPHIA ANTOINETTE HENDERSON
TACOMA, WA
NPI
1811573835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: WA NA)
Enumeration Date
2021-03-21
Last Update Date
2021-03-21
Business Address
SOPHIA ANTOINETTE HENDERSON MHT
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-207-4301
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Mailing Address
SOPHIA ANTOINETTE HENDERSON MHT
721 FAWCETT AVE
TACOMA, WA 98402-5502
Phone number: 253-207-4301
Copy
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