Provider Demographics
NPI:1588932131
Name:DHILLON, AMANDEEP KAUR (MSW)
Entity type:Individual
Prefix:MS
First Name:AMANDEEP
Middle Name:KAUR
Last Name:DHILLON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5046 W. CELESTE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-2597
Mailing Address - Country:US
Mailing Address - Phone:559-779-1101
Mailing Address - Fax:
Practice Address - Street 1:5046 W. CELESTE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2597
Practice Address - Country:US
Practice Address - Phone:559-779-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-12
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker