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Individual

AMY JO WESNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
450 S KITSAP BLVD, STE 2600, PORT ORCHARD, WA 98366-3773
(360) 415-5868
(360) 415-5872
Mailing address
5455 ALMIRA DR SE, BREMERTON, WA 98311-8330
(360) 373-5031

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00007870
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
91102010689
KITSAP PHYSICIANS SERVICE
WA
Enumeration date
01/23/2007
Last updated
07/08/2007
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