Molly Renee Black

NPI #1033836333 in Tukwila, Washington

Provider Information

NPI Number: 1033836333
Entity Type: Individual
Name: Molly Renee Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 26, 2022
Last Updated: Oct 26, 2022

Practice Location

Address: 651 STRANDER BLVD STE 105
City: Tukwila
State: Washington
ZIP Code: 98188-2914
Phone: (206) 313-8840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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