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Organization
ROOM FOR CHANGE
Active
Organization
ROOM FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ESQUIVEL LPC- SUPERVISOR, LCD (OWNER, CLINICIAN)
(940) 230-3381
Entity
Organization
Contact information
Practice address
3256 SOUTHERN DR STE 461, GARLAND, TX 75043-1533
(940) 230-3381
Mailing address
3256 SOUTHERN DR STE 461, GARLAND, TX 75043-1533
(940) 230-3381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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