Individual
AMANDA BAZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1100 TUNNEL RD, ASHEVILLE, NC 28805-2576
(828) 298-7911
Mailing address
110 VANCE CRESCENT EXT, ASHEVILLE, NC 28806-3015
(828) 298-7911
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C006670
NC
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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