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Amy Cavanaugh Pudists

Counselor in Puyallup, WA. Individual provider (NPI-1).

NPI number1396201224
StatusActive
Last updated in NPPESFeb 15, 2019

Details

NPI
1396201224
Entity type
Individual (NPI-1)
Name
Amy Cavanaugh Pudists
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2019
Last updated
Feb 15, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorCG60309146WAYes

Practice location

325 E Pioneer
Puyallup, WA 98372-3265

Phone 253-697-8400 · Fax 253-697-3730

Mailing address

325 E Pioneer
Puyallup, WA 98372-3265

Phone 253-697-8400 · Fax 253-697-3730

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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