Lisle, Gwendolyn Dacup
Lisle, Gwendolyn Dacup is an individual health care provider with primary practice located at 8282 28Th Ct Ne Ste A , Lacey WA 98516-7162. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Lisle, Gwendolyn Dacup can be contacted via phone (360) 915-6868.Contact Information
Primary practice address
8282 28Th Ct Ne Ste A
Lacey WA 98516-7162
Phone: (360) 915-6868
Fax: (360) 515-5783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1265028773 |
|---|---|
| LBN Legal business name | Lisle, Gwendolyn Dacup |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2020 |
| Last updated | Dec 18th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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