Individual
AMY MARIE KOHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
333 1ST ST APT K315, SEAL BEACH, CA 90740-6638
(657) 464-4369
Mailing address
333 1ST ST APT K315, SEAL BEACH, CA 90740-6638
(562) 522-3117
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS22212
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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