Individual
AMANDA CAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 DUNCAN AVE STE K, MANHATTAN BEACH, CA 90266-6752
(310) 754-9954
Mailing address
1050 DUNCAN AVE STE K, MANHATTAN BEACH, CA 90266-6752
(310) 754-9954
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
85653
CA
Other
Enumeration date
03/08/2015
Last updated
03/08/2015
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