Individual
AMANDA BRADI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-0689
Mailing address
2428 W REYNOLDS AVE, CENTRALIA, WA 98531-4554
(360) 330-9044
(360) 736-0689
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60962125
WA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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