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Individual

DR. AMANDA E FARGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
231A MAIN ST, BEN LOMOND, CA 95005-9394
(831) 246-0456
Mailing address
501 MISSION ST STE 106, SANTA CRUZ, CA 95060-3687
(831) 246-0456

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21619
CA

Other

Enumeration date
08/23/2010
Last updated
05/08/2019
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