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Individual
AMY MICHELLE VANCLEAVE
Active
Individual
AMY MICHELLE VANCLEAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
L16211
OR
101YM0800X
Mental Health Counselor
L16211
OR
101YM0800X
Mental Health Counselor
LW70049812
WA
1041C0700X
Clinical Social Worker
Primary
L16211
OR
1041C0700X
Clinical Social Worker
LW70049812
WA
Other
Enumeration date
05/06/2020
Last updated
11/04/2025
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