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1073015863
AMANDA MIMS
EVERETT, WA
NPI
1073015863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60740510)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
AMANDA MIMS RN
9930 EVERGREEN WAY STE Z154
EVERETT, WA 98204-3889
Phone number: 425-263-3006
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Mailing Address
AMANDA MIMS RN
1901 MARTIN LUTHER KING JR WAY S
SEATTLE, WA 98144-4801
Phone number: 206-322-7676
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