AMANDA GLEE CRUSOS

STOCKTON, CA
NPI1700418084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  115828)
Enumeration Date2020-02-05
Last Update Date2023-06-22
Business Address
AMANDA GLEE CRUSOS LCSW
306 E MAIN ST
STOCKTON, CA 95202-2908
Phone number: 209-707-6247
Mailing Address
AMANDA GLEE CRUSOS LCSW
306 E MAIN ST
STOCKTON, CA 95202-2908
Phone number:
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