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Individual

AMY FRASER MANLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
13115 NE 4TH ST STE 110, VANCOUVER, WA 98684-5958
(503) 866-1812
Mailing address
1507 W 14TH AVE, LA CENTER, WA 98629-2359
(503) 866-1812

Taxonomy

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

Other

Enumeration date
01/15/2025
Last updated
01/15/2025
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