Individual
AMY TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1411 N GRAND AVE STE 100, COVINA, CA 91724-1005
(626) 395-7100
Mailing address
1411 N GRAND AVE STE 100, COVINA, CA 91724-1005
(626) 395-7100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73553
CA
Other
Enumeration date
01/11/2011
Last updated
11/17/2016
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