Individual
MS. AMY LEWIS MADNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Contact information
Practice address
757 WESTWOOD PLZ, B788, LOS ANGELES, CA 90095-8358
(310) 267-9760
Mailing address
757 WESTWOOD PLZ, B788, LOS ANGELES, CA 90095-8358
(310) 267-9760
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS 12358
CA
Other
Enumeration date
01/17/2008
Last updated
12/23/2010
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