Individual
AMANDA RUED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7969 LARWIN DR, CITRUS HEIGHTS, CA 95610-4654
(619) 405-2048
Mailing address
7969 LARWIN DR, CITRUS HEIGHTS, CA 95610-4654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
73887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/29/2017
Last updated
02/11/2022
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