Individual
AMANDA GRACE SWENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4080 CENTRE ST, SUITE 104, SAN DIEGO, CA 92103-2655
(619) 543-9850
Mailing address
4080 CENTRE ST, SUITE 104, SAN DIEGO, CA 92103-2655
(619) 543-9850
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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