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1972070126
AMANDA JOSETTE LEWIS
PUYALLUP, WA
NPI
1972070126
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Former Name
AMANDA JOSETTE MORRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA CG60810684)
Enumeration Date
2018-10-25
Last Update Date
2018-10-25
Business Address
AMANDA JOSETTE LEWIS
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
AMANDA JOSETTE LEWIS
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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