Individual
MS. AMANDA L. DOEMLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5283 OLD BROWNSVILLE RD, ROOM 202, CORPUS CHRISTI, TX 78405-3908
(361) 806-5608
(361) 806-5404
Mailing address
5333 EVERHART RD, SUITE 206A, CORPUS CHRISTI, TX 78411-4835
(361) 225-3885
(361) 225-3885
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
28624
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1416778-04
—
TX
Enumeration date
11/17/2006
Last updated
10/05/2009
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