Shannara Marie Haradon

NPI #1134752512 in Port Townsend, Washington

Provider Information

NPI Number: 1134752512
Entity Type: Individual
Name: Shannara Marie Haradon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 13, 2020
Last Updated: Aug 30, 2021

Practice Location

Address: 509 GARFIELD ST
City: Port Townsend
State: Washington
ZIP Code: 98368-4405
Phone: (360) 531-0510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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