Individual
AMANDA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1234 BROMMER ST, SANTA CRUZ, CA 95062-2904
(209) 345-9116
Mailing address
1234 BROMMER ST, SANTA CRUZ, CA 95062-2904
(209) 345-9116
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
80558
CA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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