Individual
AMANDA RENE HAGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
38950 BLACOW RD STE D2, FREMONT, CA 94536-7379
(510) 738-4404
Mailing address
38950 BLACOW RD STE D2, FREMONT, CA 94536-7379
(510) 738-4404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
83636
CA
Other
Enumeration date
06/19/2019
Last updated
01/31/2024
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