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NPI Code Detail

MEDICARE: ERICA AMUNDSEN

MEDICARE:   ERICA  AMUNDSEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker129592CA

General Provider Information

NPI Number : 1427498427
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA AMUNDSEN
Provider Business Mailing Address
First Line : 1803 W MARCH LN STE C&D
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6458
Country : US
Telephone Number : 209-636-5353
Fax Number :
Provider Business Practice Location Address
First Line : 1803 W MARCH LN STE C&D
Second Line :
City : STOCKTON
State : CA
Zip : 95207-6458
Country : US
Telephone Number : 209-636-5353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2013
Last Update Date : 11/11/2025

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Directions to “ ERICA AMUNDSEN ” Practice Location

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