Individual
AMISTIC WILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4518 SHALLOW HILL CT, HOUSTON, TX 77084-7895
(346) 327-4955
Mailing address
4518 SHALLOW HILL CT, HOUSTON, TX 77084-7895
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
17427
LA
1041C0700X
Clinical Social Worker
Primary
61904
TX
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/02/2021
Last updated
09/28/2022
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