Corrin Black

NPI #1326626755 in Olympia, Washington

Provider Information

NPI Number: 1326626755
Entity Type: Individual
Name: Corrin Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 29, 2021
Last Updated: Mar 29, 2021

Practice Location

Address: 3443 LILLY RD NE
City: Olympia
State: Washington
ZIP Code: 98506-3091
Phone: (360) 456-2237

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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