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1144570474
AMANDA JOY WATERS
LOS ANGELES, CA
NPI
1144570474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CT 003624)
Enumeration Date
2012-09-13
Last Update Date
2017-01-11
Business Address
-- AMANDA JOY WATERS M.A.
1720 E 120TH ST
LOS ANGELES, CA 90059-3052
Phone number: 310-668-3096
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Mailing Address
-- AMANDA JOY WATERS M.A.
75 HOCKANUM BLVD UNIT 735
VERNON, CT 06066-4056
Phone number:
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