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Individual

AMANDA BOLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
5262 OLYMPIC DR NW STE C, GIG HARBOR, WA 98335-1795
(253) 225-2275
Mailing address
11105 134TH AVE, KPN, GIG HARBOR, WA 98329
(253) 225-2275

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60429375
WA

Other

Enumeration date
05/24/2016
Last updated
05/24/2016
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