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Individual

MRS. AMANDA MARIE FUERTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1741 EASTLAKE PKWY, STE 102 #1158, CHULA VISTA, CA 91915
(619) 324-0186
Mailing address
1741 EASTLAKE PKWY, STE 102 #1158, CHULA VISTA, CA 91915
(619) 324-0186

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113906
CA

Other

Enumeration date
04/08/2025
Last updated
04/08/2025
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