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Individual

AMENDDA HEVENER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
320 W 37TH ST, NEW YORK, NY 10018-4232
(866) 287-1802
Mailing address
1334 AVENIDA PANTERA, SAN MARCOS, CA 92069-7388
(760) 710-9432

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW95087
CA

Other

Enumeration date
11/24/2021
Last updated
11/24/2021
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