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1164755427
AMANDA JEANNA FATA
SANTA MONICA, CA
NPI
1164755427
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2009-09-17
Last Update Date
2017-12-12
Business Address
Ms. AMANDA JEANNA FATA
1328 2ND ST
SANTA MONICA, CA 90401-1122
Phone number: 310-394-6889
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Mailing Address
Ms. AMANDA JEANNA FATA
100 BAYVIEW AVE
BERKLEY, MA 02779-2200
Phone number: 508-685-8268
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