Individual
AMITI GROZDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 W 34TH ST # 252, AUSTIN, TX 78705-1907
(512) 772-9554
Mailing address
1101 W 34TH ST # 252, AUSTIN, TX 78705-1907
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
92348
TX
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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