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Individual

AMANDA JENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
4131 SPICEWOOD SPRINGS RD, SUITE F1, AUSTIN, TX 78759-8661
(210) 771-3872
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE F1, AUSTIN, TX 78759-8661
(210) 771-3872

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
63000
TX

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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