Individual
MRS. AMANDA DENHAM JURIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11835 W OLYMPIC BLVD STE 405, LOS ANGELES, CA 90064-5002
(424) 259-1032
Mailing address
PO BOX 3, NEW YORK, NY 10150-0003
(310) 228-7360
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086432
NY
1041C0700X
Clinical Social Worker
75897
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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