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1639556848
AMANDA MARIE MOORE
COLVILLE, WA
NPI
1639556848
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA SC60160716)
Enumeration Date
2015-04-27
Last Update Date
2015-04-27
Business Address
AMANDA MARIE MOORE
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
AMANDA MARIE MOORE
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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