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General NPI Number Information
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NPI Number | 1972204816
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Entity Type | Organization
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Legal Business Name | AMEE RESPICIO COUNSELING & CONSULTING SERVICES PLLC
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 105 W MAIN STE 105
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City | PUYALLUP
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State | WA
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Zip | 98371-5388
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Country | US
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Telephone | 253-234-4588
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Fax |
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Provider Business Mailing Address
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Address Line | 3655 TRIBUTE AVE E
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City | FIFE
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State | WA
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Zip | 98424-3751
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Country | US
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Telephone | 206-304-0788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMEE ELIZABETH RESPICIO
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Credential | LICSW, CMHS
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Telephone | 206-304-0788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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