Individual
AMY CONWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 935-4300
Mailing address
24511 W JAYNE AVE, COALINGA, CA 93210-9503
(559) 935-4300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
119936
CA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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