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Individual

MRS. AMANDA DALE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, MFTI

Contact information

Practice address
101 S ATLANTIC BLVD, ALHAMBRA, CA 91801-3256
(800) 998-6329
(866) 558-7507
Mailing address
1370 BREA BLVD, SUITE 245, FULLERTON, CA 92835-4125
(800) 998-6329
(866) 558-7507

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
09/06/2007
Last updated
05/16/2014
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