Individual
AMANDA KAY WEARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 525-5401
(209) 525-5498
Mailing address
2215 BLUE GUM AVE, MODESTO, CA 95358-1052
(209) 525-5401
(209) 525-5498
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 19181
CA
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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