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1073130282
AMANDA LEE
SHELTON, WA
NPI
1073130282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61043399)
Enumeration Date
2020-07-03
Last Update Date
2020-07-03
Business Address
AMANDA LEE
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 815-600-5635
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Mailing Address
AMANDA LEE
1202 W FRANKLIN ST APT 8
SHELTON, WA 98584-2501
Phone number: 815-600-5635
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