BASICS NW, LLC
Agencies at Blue Heron Ln, Kamilche, WA

License number
Washington CL60302030
Category
Agencies
Type
Community/Behavioral Health
Owner
Name: MR. MATTHEW JEFFREY WOODARD MED, BCBA
Title: EXECUTIVE DIRECTOR
Phone: (360) 280-4414
Address
Address
50 SE Blue Heron Ln, Kamilche, WA 98584
National Provider ID: 1073864849
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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