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Individual
AMANDA DAHIR LY
Active
Individual
AMANDA DAHIR LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA-D, LMHC, PH.D
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60331438
WA
103K00000X
Behavior Analyst
1-09-5346
NULL
Other
Enumeration date
03/29/2012
Last updated
07/21/2016
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