White, Amanda

White, Amanda is an individual health care provider with primary practice located at 302 Cherry Ln Ste 101 , Manteca CA 95337-4311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. White, Amanda can be contacted via phone (209) 647-6200.

Contact Information

Primary practice address
302 Cherry Ln Ste 101 Manteca CA 95337-4311
Phone: (209) 647-6200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW100342 California
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW100342 California

Profile Details

NPI number 1396414603
LBN Legal business name White, Amanda
Credentials ASW 100342
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2021
Last updated Jun 22nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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