Individual
AMANDA GABRIELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A., M.S.W, LCSW
Contact information
Practice address
1157 LEMOYNE ST, LOS ANGELES, CA 90026-3206
(213) 483-6335
(213) 483-9876
Mailing address
1157 LEMOYNE ST, LOS ANGELES, CA 90026-3206
(213) 483-6335
(213) 483-9876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
102580
CA
Other
Enumeration date
05/05/2015
Last updated
07/26/2021
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