Individual
AMANDA DAWN LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(719) 588-1609
Mailing address
7200 BANCROFT AVE STE 133, OAKLAND, CA 94605-2480
(719) 588-1609
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
10/31/2023
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