Individual
MISS AMANDA MELLINA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
1020 W MAIN ST, MERCED, CA 95340-4521
(209) 336-8206
Mailing address
3123 INDEPENDENCE DR, LIVERMORE, CA 94551-7595
(925) 999-4119
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107364
CA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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