AMANDA PORTO

SHELTON, WA
NPI1841787710
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60812037)
Enumeration Date2018-04-17
Last Update Date2018-04-17
Business Address
AMANDA PORTO CDPt
3737 N SHELTON SPRINGS RD
SHELTON, WA 98584-9105
Phone number: 360-426-4471
Mailing Address
AMANDA PORTO CDPt
1514 15TH AVE SW
OLYMPIA, WA 98502-0509
Phone number: 360-301-1524
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