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1053753152
AMANDA KATE MARTIN
BERKELEY, CA
NPI
1053753152
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 114673)
Enumeration Date
2013-07-18
Last Update Date
2024-12-13
Business Address
AMANDA KATE MARTIN MA
2991 SHATTUCK AVE STE 302
BERKELEY, CA 94705-1872
Phone number: 510-827-1390
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Mailing Address
AMANDA KATE MARTIN MA
PO BOX 19178 3630 HIGH STREET
OAKLAND, CA 94619
Phone number: 510-827-1390
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