Individual
MS. AMELIA LOUISE SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
4445 TALBOT RD S, RENTON, WA 98055-6219
(425) 690-3414
(425) 690-9414
Mailing address
4445 TALBOT RD S, RENTON, WA 98055-6219
(425) 690-3414
(425) 690-9414
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61100371
WA
1041C0700X
Clinical Social Worker
Primary
LW61100371
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210012
—
WA
Enumeration date
02/24/2012
Last updated
07/24/2023
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