Individual
MS. AMELIA DORE PATRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, CSWA
Contact information
Practice address
2950 SE STARK ST STE 130, PORTLAND, OR 97214-3082
(971) 270-0167
Mailing address
1524 GILES AVE NW, OLYMPIA, WA 98502-4730
(360) 451-9954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A14241
OR
Other
Enumeration date
09/10/2020
Last updated
10/27/2023
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