Individual
AMANDA WEIGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60517909
WA
Other
Enumeration date
04/29/2015
Last updated
11/10/2023
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