Individual
AMANDA LYN DEPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1660 HOTEL CIR N STE 101, SAN DIEGO, CA 92108-2801
(619) 961-2120
Mailing address
24516 CAMINO MIRABELLA, MURRIETA, CA 92562-4333
(516) 647-3126
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99056
CA
Other
Enumeration date
06/14/2018
Last updated
08/18/2022
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