Individual
AMANDA MARIE WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26137 LA PAZ RD STE 230, MISSION VIEJO, CA 92691-5337
(949) 595-8610
Mailing address
26137 LA PAZ RD STE 230, MISSION VIEJO, CA 92691-5337
(949) 595-8610
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
CA
Other
Enumeration date
06/19/2020
Last updated
10/06/2020
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