AMANDA MICHELLE GILLAM

VANCOUVER, WA
NPI1467769117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60011896)
Enumeration Date2010-09-01
Last Update Date2010-09-01
Business Address
AMANDA MICHELLE GILLAM CDP
7507 NE 51ST ST
VANCOUVER, WA 98662-6007
Phone number: 360-906-1190
Mailing Address
AMANDA MICHELLE GILLAM CDP
PO BOX 82819
PORTLAND, OR 97282-0819
Phone number: 503-233-5405
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