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1285373829
AMANDA PHITSAMAY
MODESTO, CA
NPI
1285373829
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA ASW110192)
Enumeration Date
2022-06-01
Last Update Date
2022-09-15
Business Address
AMANDA PHITSAMAY
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
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Mailing Address
AMANDA PHITSAMAY
2000 W BRIGGSMORE AVE STE I
MODESTO, CA 95350-3839
Phone number: 209-526-1476
Copy
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