Individual
AMANDA LABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
Mailing address
17018 15TH AVE NE, SHORELINE, WA 98155-5126
(206) 362-7282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/04/2021
Last updated
10/11/2024
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