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Individual

MS. AMANDA L. JOHNSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
50 SHRADER ST, SAN FRANCISCO, CA 94117-1015
(415) 668-4166
(415) 668-6357
Mailing address
368 FELL ST, SAN FRANCISCO, CA 94102-5144
(415) 861-0828
(415) 861-0257

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/01/2010
Last updated
04/01/2010
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