Individual
AMANDA RANEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(415) 762-3705
Mailing address
815 BUENA VISTA AVE W, SAN FRANCISCO, CA 94117-4108
(503) 804-1277
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW91260
CA
Other
Enumeration date
09/30/2015
Last updated
12/30/2021
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