Individual
AMANDA MARCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Mailing address
1301 PINE AVE, LONG BEACH, CA 90813-3124
(562) 595-1159
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116755
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
07/17/2023
Last updated
07/25/2023
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