Individual
AMANDA KATHLEEN MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5609 FINCH DR APT 226, LONGVIEW, WA 98632-9247
(360) 442-8718
Mailing address
5609 FINCH DR APT 226, LONGVIEW, WA 98632-9247
(360) 442-8718
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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