AMANDA WAGENBACH

GARDENA, CA
NPI1831834498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-04-28
Last Update Date2022-05-05
Business Address
AMANDA WAGENBACH LCSW
1225 W 190TH ST STE 255
GARDENA, CA 90248-4342
Phone number: 310-748-3772
Mailing Address
AMANDA WAGENBACH LCSW
1225 W 190TH ST STE 255
GARDENA, CA 90248-4342
Phone number: 310-748-3772