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Individual

AMANDA SOISSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LPC

Contact information

Practice address
4200 SOUTH FWY, SUITE 602, FORT WORTH, TX 76115-1400
(214) 402-8302
(817) 923-2063
Mailing address
17480 DALLAS PKWY, SUITE 230, DALLAS, TX 75287-7337
(214) 402-8302
(972) 407-1305

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
19753
TX

Other

Enumeration date
08/31/2010
Last updated
10/31/2011
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