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Individual

AMY MEMBRERE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
7550 LITTLE BOSTON ROAD NE, KINGSTON, WA 98346-9700
(360) 297-6341
Mailing address
31912 LITTLE BOSTON RD NE, KINGSTON, WA 98346-9700
(360) 297-6341

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH 60300478
WA

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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