Individual
AMANDA RUTH CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9808 JERICHO LN, FORT WORTH, TX 76108-4436
(817) 676-5738
Mailing address
9808 JERICHO LN, FORT WORTH, TX 76108-4436
(817) 676-5738
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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