Individual
AMELIA DIDOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 W 79TH ST, INGLEWOOD, CA 90305-1225
(607) 351-2316
Mailing address
7931 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-5107
(607) 351-2316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
142096
CA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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