Individual
AMY LUCILLE AVERWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
3182 TAMARACK WAY, MIRA LOMA, CA 91752-2803
(626) 318-7273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ASW20421
CA
1041C0700X
Clinical Social Worker
Primary
LCS 25260
CA
Other
Enumeration date
03/08/2007
Last updated
03/12/2009
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