Sam Gorrell

NPI #1699453449 in Raymond, Washington

Provider Information

NPI Number: 1699453449
Entity Type: Individual
Name: Sam Gorrell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 10, 2023
Last Updated: Jul 10, 2023

Practice Location

Address: 320 6TH ST
City: Raymond
State: Washington
ZIP Code: 98577-2503
Phone: (360) 915-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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