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Individual

MRS. AMANDA JO WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
4270 S DECATUR BLVD STE B6, LAS VEGAS, NV 89103-6802
(702) 447-0514
Mailing address
7349 MILLIKEN AVE # 140-260, RANCHO CUCAMONGA, CA 91730-7435
(909) 600-4849

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8600-C
NV
1041C0700X
Clinical Social Worker
Primary
LCSW69991
CA

Other

Enumeration date
08/28/2009
Last updated
07/24/2020
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