Individual
AMANDA CARRIE AJMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
160 E HOLT AVE, B, POMONA, CA 91767-5406
(909) 620-2521
Mailing address
11088 VERNON AVE, ONTARIO, CA 91762-6126
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
47092
CA
Other
Enumeration date
08/01/2007
Last updated
05/19/2015
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