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1699477059
AMANDA CARRELL
TACOMA, WA
NPI
1699477059
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO61279480)
Enumeration Date
2023-03-20
Last Update Date
2023-03-20
Business Address
AMANDA CARRELL
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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Mailing Address
AMANDA CARRELL
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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