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1295209302
AMANDA NICHOLSON
LAKEWOOD, WA
NPI
1295209302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-11
Last Update Date
2019-01-11
Business Address
AMANDA NICHOLSON
6103 MOUNT TACOMA DR SW
LAKEWOOD, WA 98499-2727
Phone number: 253-833-7444
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Mailing Address
AMANDA NICHOLSON
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-833-7444
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