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Miss Amanda Marie Oswalt, MS
Emotionally Disturbed Childrens' Residential Treatment Facility in San Francisco, California
NPI 1093973679

Amanda Marie Oswalt is a Emotionally Disturbed Childrens' Residential Treatment Facility based in San Francisco, CA. Amanda Marie Oswalt practices in San Francisco, CA and has the professional credentials of MS. The NPI Number for Amanda Marie Oswalt is 1093973679 and holds a License No. O243-013-81-799-0 (California).

The current practice location address for Amanda Marie Oswalt is 1062 Fulton St Apt 2, San Francisco, CA and can be reached out via phone at 321-698-9915.

Location: 1062 Fulton St Apt 2, San Francisco, CA, 94117-1627
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Provider Profile Details
NPI Number
1093973679
Provider Name
Amanda Marie Oswalt
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1062 Fulton St Apt 2, San Francisco, CA, 94117-1627
Phone Number
321-698-9915
Fax Number
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
O243-013-81-799-0 01 FL DRIVERS LICENCE
institution
Provider Business Practice Location Address Details
Address
1062 Fulton St Apt 2
City
State
Zip
94117-1627
Phone Number
321-698-9915
Fax Number
person
Provider Business Mailing Address Details
Address
1062 Fulton St Apt 2
City
State
Zip
94117-1627
Phone Number
321-698-9915
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
O243-013-81-799-0 (Florida)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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