Individual
AMELIA PENNEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3095 INDEPENDENCE DR, LIVERMORE, CA 94551-7629
(925) 443-3434
Mailing address
2059 PARK ST, LIVERMORE, CA 94551-3842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF99069
CA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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