Individual
AMANDA ANNE MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Mailing address
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502-7208
(360) 878-8248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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