Individual
AMANDA ISABEL IBANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
6980 CHESTNUT ST, GILROY, CA 95020-6635
(408) 776-6201
Mailing address
6980 CHESTNUT ST, GILROY, CA 95020-6635
(408) 776-6201
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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