Individual
MRS. AMANDA BRIANNA KONYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 COHASSET RD, CHICO, CA 95926-2210
(530) 879-5000
Mailing address
2393 BROWN ST, DURHAM, CA 95938-9620
(530) 521-4680
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW29122
CA
Other
Enumeration date
12/18/2006
Last updated
05/04/2011
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