Individual
AMANDA LOBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
7581 S WILLOW DR, TEMPE, AZ 85283-5033
(480) 282-8778
Mailing address
1915 E PALO VERDE DR, PHOENIX, AZ 85016-2627
(702) 355-5771
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LAMFT-10684
AZ
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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