Individual
AMANDA L DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6957 AMESTOY AVE, VAN NUYS, CA 91406-4448
(818) 652-5807
Mailing address
6957 AMESTOY AVE, VAN NUYS, CA 91406-4448
(818) 652-5807
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
124818
CA
Other
Enumeration date
05/16/2024
Last updated
05/16/2024
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