Individual
AMY DAWN SHIMANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 WILMINGTON DR, DUPONT, WA 98327-8773
(360) 464-0114
Mailing address
310 DIVISION ST NW, OLYMPIA, WA 98502-4918
(360) 464-0114
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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