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1831834498
AMANDA WAGENBACH
GARDENA, CA
NPI
1831834498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-04-28
Last Update Date
2022-05-05
Business Address
AMANDA WAGENBACH LCSW
1225 W 190TH ST STE 255
GARDENA, CA 90248-4342
Phone number: 310-748-3772
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Mailing Address
AMANDA WAGENBACH LCSW
1225 W 190TH ST STE 255
GARDENA, CA 90248-4342
Phone number: 310-748-3772
Copy
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