Individual
AMANDA TAKISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E EVERGREEN BLVD STE 210, VANCOUVER, WA 98660-3264
(503) 454-6090
(503) 961-7054
Mailing address
400 E EVERGREEN BLVD STE 210, VANCOUVER, WA 98660-3264
(503) 454-6090
(503) 961-7054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10885
OR
Other
Enumeration date
08/31/2015
Last updated
08/24/2023
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