Individual
MS. AMANDA JEAN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6368 HOLLYWOOD BLVD, LOS ANGELES, CA 90028-6320
(323) 469-5555
Mailing address
2861 MALCOLM AVE., LOS ANGELES, CA 90064-4211
(310) 755-8375
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
85682
CA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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