Individual
AMANDA JOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E TRAVIS BLVD, FAIRFIELD, CA 94533-3958
(510) 836-5979
Mailing address
345 E TRAVIS BLVD, FAIRFIELD, CA 94533-3958
(510) 836-5979
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW128401
CA
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/15/2022
Last updated
01/30/2025
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