Individual
KAMILAH AQA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
303 DOWNEY AVE, MODESTO, CA 95354-1203
(209) 525-4947
Mailing address
303 DOWNEY AVE, MODESTO, CA 95354-1203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
02/11/2022
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