Individual
AMANDA VIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
(415) 691-9694
Mailing address
1500 FRANKLIN ST, SAN FRANCISCO, CA 94109-4523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW123994
CA
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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