AMY BLACK

EVERETT, WA
NPI1821542317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO 60668826)
Enumeration Date2016-08-12
Last Update Date2016-08-12
Business Address
-- AMY BLACK CDP-T
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-252-2131
Mailing Address
-- AMY BLACK CDP-T
PO BOX 12598
EVERETT, WA 98206-2598
Phone number: 425-252-2131
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