Individual
AMANDA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1032 DELAWARE ST # B, BERKELEY, CA 94710-2131
(559) 905-4277
Mailing address
1032 DELAWARE ST # B, BERKELEY, CA 94710-2131
(559) 905-4277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28905
CA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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