Individual
AMANDA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 SANTA MONICA BLVD STE 860W, SANTA MONICA, CA 90404-2189
(310) 301-7396
(310) 828-5165
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW82154
CA
Other
Enumeration date
10/15/2014
Last updated
11/22/2021
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