Individual
MS. AMELIA LAUREL BAMBAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 NE 20TH AVE STE 140, PORTLAND, OR 97232-2275
(971) 806-6366
Mailing address
1724 22ND AVE, LONGVIEW, WA 98632-3614
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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