Individual
MRS. AMY DANIELLE DE VORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12703 LILAC STONE CT, HOUSTON, TX 77044-5682
(832) 503-2355
Mailing address
12703 LILAC STONE CT, HOUSTON, TX 77044-5682
(832) 503-2355
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
51604
TX
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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