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Individual

AMANDA NICOLE BRASIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-7000
Mailing address
2627 NINA RD, LEMON GROVE, CA 91945-2134

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127635
CA

Other

Enumeration date
02/11/2026
Last updated
02/11/2026
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