Individual
AMANDA MARIE LARIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
645 S MINNEWAWA AVE, FRESNO, CA 93727-4141
(559) 691-6560
Mailing address
645 S MINNEWAWA AVE, FRESNO, CA 93727-4141
(559) 691-6560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW125555
CA
Other
Enumeration date
09/12/2023
Last updated
09/11/2024
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