EVAN TODD BRACKENBURY

TACOMA, WA
NPI1982462750
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2024-03-07
Last Update Date2024-08-19
Business Address
EVAN TODD BRACKENBURY
8811 S TACOMA WAY STE 204&206
TACOMA, WA 98499-4595
Phone number: 425-217-1140
Mailing Address
EVAN TODD BRACKENBURY
11114 W ARICA RD
CASA GRANDE, AZ 85193-9033
Phone number: 520-634-8601
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