Individual
MS. BLANCA ESTELA AMAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 241-6730
Mailing address
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 241-6730
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
72077
CA
1041C0700X
Clinical Social Worker
Primary
88710
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
W2983P
—
CA
Enumeration date
07/14/2008
Last updated
03/10/2021
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