Amanda Michele Wilcox QMHA

NPI 1447554050 - Counselor - 101Y00000X

NPI Details
NPI 1447554050
Gender Female
Enumeration Date 12/23/2010
Last Updated 12/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
290 MOYER LN NW
SALEM OR, 97304-3822, US
Phone (503) 370-8990
Fax (503) 363-4214
Business Location
290 MOYER LN NW
SALEM OR, 97304-3822, US
Phone (503) 370-8990
Fax (503) 363-4214
Toxanomy
Taxonomy Code 101Y00000X
License State
License Number
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According to our database, Mrs. Amanda Michele Wilcox QMHA NPI is 1447554050, taxonomy code is 101Y00000X Amanda Michele Wilcox QMHA physically located at 290 Moyer Ln Nw, Salem OR, 97304-3822. NPI Number Amanda Michele Wilcox QMHA has the Individual type.

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1447554050 NPI number is provided on an as is basis without warranty of any kind. 1447554050 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Michele Wilcox QMHA are for informational purposes only.