Individual
MRS. AMY LEVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14708 15TH AVE NE, SHORELINE, WA 98155-7168
(206) 401-2879
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5137
(206) 401-2879
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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