Individual
AMIE DAWN PANICACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, ASW
Contact information
Practice address
15339 SATICOY ST, VAN NUYS, CA 91406-3345
(818) 267-2646
(818) 267-2691
Mailing address
1670 AMBERWOOD DR APT C, SOUTH PASADENA, CA 91030-1930
(818) 720-7701
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28045
CA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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