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1508184573
AMANDA ROSE MORTIMER
FRESNO, CA
NPI
1508184573
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Former Name
AMANDA ROSE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: CA PSY 20920)
Enumeration Date
2010-05-14
Last Update Date
2021-02-26
Business Address
AMANDA ROSE MORTIMER Ph.D.
806 E NORMAL AVE
FRESNO, CA 93704-6113
Phone number: 559-278-5126
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Mailing Address
AMANDA ROSE MORTIMER Ph.D.
806 E NORMAL AVE
FRESNO, CA 93704-6113
Phone number: 559-375-2882
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