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Individual

AMANDA BANDA RAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5717 E BEVERLY BLVD, LOS ANGELES, CA 90022-2823
(323) 430-4200
Mailing address
PO BOX 54302, LOS ANGELES, CA 90054-0302

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
66615
CA
1041C0700X
Clinical Social Worker
Primary
LCSW82340
CA

Other

Enumeration date
02/25/2008
Last updated
05/23/2023
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